Evidence-based review of bronchoscopic lung volume reduction
نویسندگان
چکیده
Emphysema sequentially leads to the loss of gas exchanging surface and an abnormal shape diaphragm generating dyspnea refractory standard medical therapy. Lung volume reduction surgery (LVRS) is a surgical treatment option for patients with severe emphysema whose symptoms are uncontrolled on Bronchoscopic LVR (bLVR) process by which lung achieved in minimally invasive manner using bronchoscopy-guided insertion valves, coils, sealants, or thermal vapour ablation like techniques. These therapies have developed over last few years variable results patients. We summarized current evidence available each these methods this review.
منابع مشابه
Bronchoscopic lung volume reduction
Surgical lung volume reduction can improve exercise performance and forced expiratory volume in one second in patients with emphysema. However, the procedure is associated with a 5% mortality rate and a nonresponse rate of ,25%. Accordingly, interest has focused on alternative ways of reducing lung volume. Two principle approaches are used: collapse of the diseased area using blockers placed en...
متن کاملBronchoscopic Lung Volume Reduction
The application of lung volume reduction surgery in clinical practice is limited by high postoperative morbidity and stringent selection criteria. This has been the impetus for the development of bronchoscopic approaches to lung volume reduction. A range of different techniques such as endobronchial blockers, airway bypass, endobronchial valves, thermal vapor ablation, biological sealants, and ...
متن کاملCurrent status of bronchoscopic lung volume reduction with endobronchial valves.
INTRODUCTION Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide. Emphysema is a component of COPD characterised by hyperinflation resulting in reduced gas exchange and interference with breathing mechanics. Endoscopic lung volume reduction using one-way valves to induce atelectasis of the hyperinflated lobe has been developed and studied in clinic...
متن کاملEfficacy of bronchoscopic lung volume reduction: a meta-analysis
BACKGROUND Over the last several years, the morbidity, mortality, and high costs associated with lung volume reduction (LVR) surgery has fuelled the development of different methods for bronchoscopic LVR (BLVR) in patients with emphysema. In this meta-analysis, we sought to study and compare the efficacy of most of these methods. METHODS ELIGIBLE STUDIES WERE RETRIEVED FROM PUBMED AND EMBASE ...
متن کاملEfficacy of bronchoscopic lung volume reduction: a meta-analysis [Corrigendum]
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ژورنال
عنوان ژورنال: Advances in respiratory medicine
سال: 2021
ISSN: ['2451-4934', '2543-6031']
DOI: https://doi.org/10.5603/arm.a2020.0172