Endoscopic lung volume reduction in severe emphysema

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Endoscopic lung volume reduction in severe emphysema.

Therapeutic options in severe emphysema are limited. Endoscopic lung volume reduction (ELVR) refers to bronchoscopically inducing volume loss to improve pulmonary mechanics and compliance, thereby reducing the work of breathing. Globally, this technique is increasingly used as treatment for advanced emphysema with the aim of obtaining similar functional advantages to surgical lung volume reduct...

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Lung volume reduction surgery for severe emphysema.

The lung-volume reduction procedure is a palliative one, designed to relieve dyspnea, and improve the patient's ability to carry out routine activities of daily living without significant limitations. The rationale for this procedure and its development are discussed. In addition, patient selection, operative technique, postoperative care, results, and complications are considered. Ultimately, ...

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Is endoscopic lung volume reduction able to reverse pulmonary hypertension in patients with severe emphysema?

within group 3 – PH due to lung diseases and/or hypoxia – in the 2013 NICE classification [4] . In these patients, PH treatment is usually limited to long-term oxygen therapy (LTOT) and if it is not optimized there is potential for PH to get worse. Systemic drugs have proved their value in idiopathic PH; however, a real benefit has not yet been confirmed in COPD patients and with some therapies...

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Microbiological airway colonization in COPD patients with severe emphysema undergoing endoscopic lung volume reduction

Background Endoscopic lung volume reduction (eLVR) is a therapeutic option for selected patients with COPD and severe emphysema. Infectious exacerbations are serious events in these vulnerable patients; hence, prophylactic antibiotics are often prescribed postinterventionally. However, data on the microbiological airway colonization at the time of eLVR are scarce, and there are no evidence-base...

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Endoscopic lung volume reduction with endobronchial valves in patients with severe emphysema and established pulmonary hypertension.

BACKGROUND One of the most common forms of pulmonary hypertension (PH) is that associated with chronic obstructive pulmonary disease (COPD). So far, patients with severe emphysema and established PH have been excluded from endoscopic lung volume reduction (ELVR) therapy due to the risk of right heart decompensation. OBJECTIVE The aim of this pilot study was to evaluate the feasibility and eff...

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ژورنال

عنوان ژورنال: South African Medical Journal

سال: 2015

ISSN: 2078-5135

DOI: 10.7196/samjnew.8144