Expert Statement: Pneumothorax Associated with One-Way Valve Therapy for Emphysema: 2020 Update

被引:35
作者
van Dijk, Marlies [1 ,2 ]
Sue, Rick [3 ]
Criner, Gerard J. [4 ]
Gompelmann, Daniela [5 ]
Herth, Felix J. F. [6 ]
Hogarth, D. Kyle [7 ]
Klooster, Karin [1 ,2 ]
Kocks, Janwillem W. H. [2 ,8 ,9 ]
de Oliveira, Hugo G. [10 ]
Shah, Pallav L. [11 ,12 ,13 ]
Valipour, Arschang [14 ]
Slebos, Dirk-Jan [1 ,2 ]
机构
[1] Univ Groningen, Univ Med Ctr Groningen, Dept Pulm Dis, Groningen, Netherlands
[2] Univ Groningen, Univ Med Ctr Groningen, GRIAC Res Inst, Groningen, Netherlands
[3] Banner Univ Phoenix, Adv Lung Inst, Phoenix, AZ USA
[4] Temple Univ, Dept Thorac Med & Surg, Lewis Katz Sch Med, Philadelphia, PA USA
[5] Med Univ Vienna, Dept Internal Med 2, Div Pulmonol, Vienna, Austria
[6] Heidelberg Univ, Thoraxklin & Translat Lung Res Ctr Heidelberg TLR, Dept Pneumol & Crit Care Med, Heidelberg, Germany
[7] Univ Chicago, Sect Pulm & Crit Care Med, Chicago, IL 60637 USA
[8] Gen Practitioners Res Inst, Groningen, Netherlands
[9] Observat & Pragmat Res Inst, Singapore, Singapore
[10] Univ Fed Rio Grande do Sul, Serv Pneumol Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil
[11] Royal Brompton Hosp, London, England
[12] Chelsea & Westminster Hosp, London, England
[13] Imperial Coll, Natl Heart & Lung Inst, London, England
[14] Vienna Hlth Care Grp, Karl Landsteiner Inst Lung Res & Pulm Oncol, Klin Floridsdorf, Dept Resp & Crit Care Med, Vienna, Austria
关键词
Bronchoscopy; Bronchoscopic lung volume reduction; Emphysema; One-way valves; Pneumothorax; LUNG-VOLUME-REDUCTION; ENDOBRONCHIAL VALVES; PREDICTORS; SAFETY; IMPACT; TRIAL; PANEL;
D O I
10.1159/000516326
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
For selected patients with advanced emphysema, bronchoscopic lung volume reduction with one-way valves can lead to clinically relevant improvements of airflow obstruction, hyperinflation, exercise capacity, and quality of life. The most common complication of this procedure is pneumothorax with a prevalence of up to +/- 34% of the treated patients. Patients who develop a pneumothorax also experience meaningful clinical benefits once the pneumothorax is resolved. Timely resolution of a post-valve treatment pneumothorax requires skilled and adequate pneumothorax management. This expert panel statement is an updated recommendation of the 2014 statement developed to help guide pneumothorax management after valve placement. Additionally, mechanisms for pneumothorax development, risk assessment, prevention of pneumothorax, and outcomes after pneumothorax are addressed. This recommendation is based on a combination of the current scientific literature and expert opinion, which was obtained through a modified Delphi method.
引用
收藏
页码:969 / 978
页数:10
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