What is the role of bronchial thermoplasty in the management of severe asthma?

被引:8
作者
O'Reilly, Aoife [1 ]
Lane, Stephen [1 ]
机构
[1] Tallaght Hosp, Dublin D24 NR0A 24, Ireland
关键词
asthma; bronchial hyperresponsiveness; airway smooth muscle; bronchial thermoplasty; bronchoscopic procedure; AIRWAY SMOOTH-MUSCLE; SEVERE PERSISTENT ASTHMA; SAFETY; EFFICACY;
D O I
10.1177/1753466618792410
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Asthma is a common chronic inflammatory condition of the airways. Conventional therapy comprises inhaled corticosteroid and bronchodilators as well as trigger avoidance and management of comorbid conditions. A small group remain symptomatic despite these strategies and novel therapies have been developed. Bronchial thermoplasty is a nonpharmacological therapy which targets airway smooth muscle to improve asthma control. Clinical trials to date have shown the efficacy and safety of bronchial thermoplasty with a persistent effect on extended follow up. Questions remain regarding the exact mechanism of action of bronchial thermoplasty, the cost effectiveness of the procedure and the ideal criteria for patient selection.
引用
收藏
页数:7
相关论文
共 31 条
[1]  
[Anonymous], 2017, GLOB STRAT ASTHM MAN
[2]   Effectiveness of bronchial thermoplasty in severe asthma in "real life' patients compared with those recruited to clinical trials in the same centre [J].
Bicknell, Stephen ;
Chaudhuri, Rekha ;
Lee, Nicola ;
Shepherd, Malcolm ;
Spears, Mark ;
Pitman, Nick ;
Cameron, Euan ;
Cowan, Douglas ;
Nixon, Julie ;
Thompson, Joyce ;
McSharry, Charles ;
Thomson, Neil C. .
THERAPEUTIC ADVANCES IN RESPIRATORY DISEASE, 2015, 9 (06) :267-271
[3]   Guiding principles for use of newer biologics and bronchial thermoplasty for patients with severe asthma [J].
Blaiss, Michael S. ;
Castro, Mario ;
Chipps, Bradley E. ;
Zitt, Myron ;
Panettieri, Reynold A., Jr. ;
Foggs, Michael B. .
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 2017, 119 (06) :533-540
[4]   THE STRUCTURE OF LARGE AND SMALL AIRWAYS IN NONFATAL AND FATAL ASTHMA [J].
CARROLL, N ;
ELLIOT, J ;
MORTON, A ;
JAMES, A .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1993, 147 (02) :405-410
[5]   Persistence of effectiveness of bronchial thermoplasty in patients with severe asthma [J].
Castro, Mario ;
Rubin, Adalberto ;
Laviolette, Michel ;
Hanania, Nicola A. ;
Armstrong, Brian ;
Cox, Gerard .
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 2011, 107 (01) :65-70
[6]   Effectiveness and Safety of Bronchial Thermoplasty in the Treatment of Severe Asthma A Multicenter, Randomized, Double-Blind, Sham-Controlled Clinical Trial [J].
Castro, Mario ;
Rubin, Adalberto S. ;
Laviolette, Michel ;
Fiterman, Jussara ;
Lima, Marina De Andrade ;
Shah, Pallav L. ;
Fiss, Elie ;
Olivenstein, Ronald ;
Thomson, Neil C. ;
Niven, Robert M. ;
Pavord, Ian D. ;
Simoff, Michael ;
Duhamel, David R. ;
McEvoy, Charlene ;
Barbers, Richard ;
ten Hacken, Nicolaas H. T. ;
Wechsler, Michael E. ;
Holmes, Mark ;
Phillips, Martin J. ;
Erzurum, Serpil ;
Lunn, William ;
Israel, Elliot ;
Jariour, Nizar ;
Kraft, Monica ;
Shargill, Narinder S. ;
Quiring, John ;
Berry, Scott M. ;
Cox, Gerard .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2010, 181 (02) :116-124
[7]   Effects of Bronchial Thermoplasty on Airway Smooth Muscle and Collagen Deposition in Asthma [J].
Chakir, Jamila ;
Haj-Salem, Ikhlass ;
Gras, Delphine ;
Joubert, Philippe ;
Beaudoin, Eve-Lea ;
Biardel, Sabrina ;
Lampron, Noel ;
Martel, Simon ;
Chanez, Pascal ;
Boulet, Louis-Philippe ;
Laviolette, Michel .
ANNALS OF THE AMERICAN THORACIC SOCIETY, 2015, 12 (11) :1612-1618
[8]   Bronchial thermoplasty for asthma [J].
Cox, G ;
Miller, JD ;
McWilliams, A ;
FitzGerald, JM ;
Lam, S .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2006, 173 (09) :965-969
[9]   Airway Inflammation after Bronchial Thermoplasty for Severe Asthma [J].
Denner, Darcy R. ;
Doeing, Diana C. ;
Hogarth, D. Kyle ;
Dugan, Karen ;
Naureckas, Edward T. ;
White, Steven R. .
ANNALS OF THE AMERICAN THORACIC SOCIETY, 2015, 12 (09) :1302-1309
[10]   Bronchial thermoplasty failure in severe persistent asthma: a case report [J].
Doeing, Diana C. ;
Husain, Aliya N. ;
Naureckas, Edward T. ;
White, Steven R. ;
Hogarth, Douglas K. .
JOURNAL OF ASTHMA, 2013, 50 (07) :799-801