Endoscopic Lung Volume Reduction: An Expert Panel Recommendation - Update 2019

被引：94

作者：

Herth, Felix J. F. ^{[1
,2
]}

Slebos, Dirk-Jan ^{[3
]}

Criner, Gerard J. ^{[4
]}

Valipour, Arschang ^{[5
]}

Sciurba, Frank ^{[6
]}

Shah, Pallav L. ^{[6
,7
,8
]}

机构：

[1] Thoraxklinik, Dept Pneumol & Crit Care Med, Rontgenstr 1, DE-69126 Heidelberg, Germany

[2] Heidelberg Univ, German Lung Res Fdn, Translat Lung Res Ctr Heidelberg, Heidelberg, Germany

[3] Univ Groningen, Univ Med Ctr Groningen, Dept Pulm Dis, Groningen, Netherlands

[4] Temple Univ, Lewis Katz Sch Med, Dept Thorac Med & Surg, Philadelphia, PA 19122 USA

[5] Otto Wagner Hosp, Ludwig Boltzmann Inst COPD & Resp Epidemiol, Dept Resp & Crit Care Med, Vienna, Austria

[6] Univ Pittsburgh, Sch Med, Div Pulm & Crit Care Med, Pittsburgh, PA USA

[7] Royal Brompton Harefield NHS Fdn Trust, London, England

[8] Imperial Coll, Chelsea & Westminster Hosp, London, England

来源：

RESPIRATION | 2019年 / 97卷 / 06期

关键词：

Chronic obstructive pulmonary disease; Emphysema; Bronchoscopy; Lung volume reduction; Hyperinflation; Expert statement; ENDOBRONCHIAL VALVE THERAPY; SEVERE EMPHYSEMA; COIL TREATMENT; HOMOGENEOUS EMPHYSEMA; CLINICAL-OUTCOMES; GLOBAL BURDEN; FOLLOW-UP; PNEUMOTHORAX; PREDICTORS; MANAGEMENT;

D O I：

10.1159/000496122

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Endoscopic lung volume reduction (ELVR) therapies are gaining prominence as a treatment option with guideline recommendations by COPD GOLD and NICE and the recent FDA approval for endobronchial valves. The transition from an experiment-based therapy only to clinical care comes with new challenges. A significant volume of evidence-based data has been published; all data demonstrate consistent improvements in several aspects of patient outcomes. Patients suffering from severe air trapping and thoracic hyperinflation seem to benefit the most from ELVR. In addition to lung function, baseline assessment should ideally include cardiopulmonary exercise testing, high-resolution computer tomography scan, perfusion scintigraphy, and echocardiography. This expert ELVR statement updates best practice recommendations from 2017 regarding patient selection and utilization of these various techniques for treating patients with advanced emphysema.

引用

页码：548 / 557

页数：10

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