Endoscopic Volume Reduction in COPD

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Endoscopic lung volume reduction.

Chronic obstructive pulmonary disease (COPD) is a category of diseases characterized by chronic airflow obstruction and hyperinflation. The GOLD committee and the American Thoracic Society/European Respiratory Society have published detailed, evidence-based reviews of management approaches, providing stepped-care algorithms for pharmacologic and nonpharmacologic therapy. Over the past several d...

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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 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 transplantation after endoscopic lung volume reduction.

BACKGROUND Endoscopic lung volume reduction (ELVR) has become an established treatment option in selected patients with end-stage lung emphysema. ELVR, however, does not always prevent disease progression, and patients may inevitably be considered for lung transplantation. OBJECTIVES Currently, limited data exist regarding the impact of preceding ELVR on lung transplantation outcomes. METHO...

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Endoscopic lung volume reduction. An American perspective.

There are limited therapies for severe emphysema. Bronchoscopic treatments of emphysema were introduced to achieve the beneficial physiological changes seen in surgical lung volume reduction; however, at the present time these treatments are mostly aimed at improving quality of life and functional status in patients with emphysema. At this time, none of these minimally invasive approaches have ...

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ژورنال

عنوان ژورنال: Deutsches Aerzteblatt Online

سال: 2014

ISSN: 1866-0452

DOI: 10.3238/arztebl.2014.0827