Correlation between Collateral Ventilation and Interlobar Lung Fissures

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چکیده

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Correlation between collateral ventilation and interlobar lung fissures.

BACKGROUND New bronchoscopic techniques for end-stage emphysema treatment are nowadays available; the presence of interlobar collateral ventilation (CV) and interlobar lung fissures (ILF) is crucial for patient selection. OBJECTIVES Assessment of these variables has been reported previously, but it has never been anatomically validated in vivo. This is the purpose of our study. METHODS Twen...

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BACKGROUND Bronchoscopic lung-volume reduction with the use of one-way endobronchial valves is a potential treatment for patients with severe emphysema. To date, the benefits have been modest but have been hypothesized to be much larger in patients without interlobar collateral ventilation than in those with collateral ventilation. METHODS We randomly assigned patients with severe emphysema a...

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In patients with severe emphysema, bronchoscopic lung volume reduction using one-way valves is a promising therapeutic option to improve lung function and quality of life. The goal of this treatment is to achieve a complete lobar atelectasis. In a significant proportion of patients, this atelectasis cannot be achieved due to interlobar collateral ventilation. This collateral ventilation is gene...

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We read with interest the paper of Marshall et al entitled 'Direct visualisation of collateral ventilation in COPD with hyper-polarised gas MRI'. 1 Collateral ventilation (CV) is defined as 'the ventilation of alveolar structures through passages that bypass the normal airway'. 2 This happens through the intra-alveolar pores of Kohn, the bronchio-loalveolar communications of Lambert and the int...

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ژورنال

عنوان ژورنال: Respiration

سال: 2014

ISSN: 0025-7931,1423-0356

DOI: 10.1159/000363538