Successful treatment of a giant emphysematous bulla by bronchoscopic placement of endobronchial valves.
نویسندگان
چکیده
Surgical bullectomy is the treatment of choice for giant emphysematous bulla. We report a case of successful nonsurgical treatment with bronchoscopic placement of one-way endobronchial valves that are currently under investigation for the treatment of end-stage emphysema. In patients who are poor surgical candidates, this noninvasive bronchoscopic treatment may represent a valuable alternative.
منابع مشابه
CT-guided drainage for patient with giant emphysematous bulla who was invalid 40 days after placement of EBV: a case report
Background: Bullectomy is preferred for the treatment of giant emphysematous bulla (GEB). For the surgically unfit candidates, bronchoscopic placement of one-way endobronchial valve (EBV) and intracavitary drainage of bulla have been considered as alternative strategies. Case presentation: In this report, we present a surgery unfit patient with giant emphysematous bulla in the left lower lobe w...
متن کاملSuccessful Treatment of a Giant Emphysematous Bulla with an Endobronchial Valve in a Patient with Contralateral Lung Cancer
Patients with severe emphysema have a higher risk of developing lung cancer, and their surgical risk increases when emphysema is accompanied by a giant bulla. Here, we describe a patient who had an emphysematous giant bulla in the right upper lobe that was treated with an endobronchial valve placement. Subsequently, a cancerous lesion on the contralateral lung was successfully removed by lobect...
متن کاملEndobronchial treatment of giant emphysematous bullae with one-way valves: a new approach for surgically unfit patients.
OBJECTIVE We aimed to evaluate the feasibility and short-term efficacy of endobronchial treatment with one-way valves for giant emphysematous bulla in surgically unfit patients. METHODS Nine consecutive patients with giant emphysematous bulla were enrolled in the last 3 years. Endobronchial valves were placed in the segmental bronchi to functionally isolate the airway that supplied the bulla,...
متن کاملSurgical resection of a giant emphysematous bulla occupying the entire hemithorax.
Surgical bullectomy is the treatment of choice for giant emphysematous bullae; however, when a giant emphysematous bulla occupies the entire hemithorax, and the remaining lung is in a collapsed state for a long period, it is difficult to predict the surgical outcome preoperatively. We report a case of the successful resection of a giant emphysematous bulla occupying the entire hemithorax. A 44-...
متن کاملVolumetric and scintigraphic changes following endoscopic lung volume reduction.
Bronchoscopic treatment of emphysema represents an emerging therapeutic modality for advanced emphysematous lung destruction in chronic obstructive pulmonary disease (COPD). Within the proposed techniques for endoscopic lung volume reduction (ELVR), a significant amount of experience exists for the placement of endobronchial valves (EBV) (Zephyr1 valves; Pulmonx, Inc., Redwood City, CA, USA) ta...
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ورودعنوان ژورنال:
- Chest
دوره 130 5 شماره
صفحات -
تاریخ انتشار 2006