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Bronchoscopic interventions for severe emphysema
- Source :
- Respirology. 25(9):972-980
- Publication Year :
- 2020
-
Abstract
- Patients with severe emphysema have limited treatment options and only derive a small benefit from optimal medical treatment. The only other therapy to have significant clinical beneficial effect in emphysema is LVRS but the perceived risk and invasiveness of surgery has fuelled bronchoscopic approaches to induce lung volume reduction. There are multiple bronchoscopic methods for achieving volume reduction in severe emphysema: EBV, airway bypass procedure, endobronchial coils, thermal (vapour) sclerosis and chemical sclerosis (sealants). Optimal patient selection is key to successful patient outcomes. This review discusses bronchoscopic approaches for emphysema treatment which has progressed through clinical trials to clinical practice.
- Subjects :
- Pulmonary and Respiratory Medicine
Lung volume reduction
Ablation Techniques
Male
medicine.medical_specialty
Psychological intervention
03 medical and health sciences
0302 clinical medicine
Bronchoscopy
Medicine
Humans
030212 general & internal medicine
Intensive care medicine
Pneumonectomy
medicine.diagnostic_test
Medical treatment
business.industry
Patient Selection
Treatment options
Prostheses and Implants
respiratory system
respiratory tract diseases
Clinical trial
Clinical Practice
030228 respiratory system
Pulmonary Emphysema
Polyvinyl Alcohol
business
Airway
Subjects
Details
- Language :
- English
- ISSN :
- 13237799
- Volume :
- 25
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Respirology
- Accession number :
- edsair.doi.dedup.....984e1ca3b7e5d3a0ba592b2aa2e5e8af