Reducción de volumen pulmonar endoscópica en enfisema pulmonar avanzado. Casos clínicos

Date

2017

Type:

Artículo

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6

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Publisher

Sociedad Medica de Santiago

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Abstract

Chronic obstructive pulmonary disease (COPD) has no curative treatment, and in moderate to advanced stages, functional parameters and quality of life are affected. Lung volume reduction improves respiratory parameters and quality of life of these patients. Endoscopic lung volume reduction is a minimally invasive procedure that uses endobronchial valves or coils. Valves are unidirectional, blocking the air from entering the target lobe during inspiration, allowing the exit of air and secretions during expiration. Complete fissure and absence of collateral ventilation are needed for an adequate functioning of endobronchial valves. Endobronchial coils cause mechanical retraction of the lung parenchyma. We report two patients who underwent endoscopic lung volume reduction by endobronchial valves. One patient was on continuous positive pressure non-invasive ventilation due to his severe emphysema.

Description

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Citation

Fernández-Bussy S, Labarca G, Caviedes I, Mehta HJ, Jantz M, Majid A. Reducción de volumen pulmonar endoscópica en enfisema pulmonar avanzado: Casos clínicos [Endoscopic lung volume reduction in advanced pulmonary emphysema: initial experience in Chile]. Rev Med Chil. 2017 May;145(5):667-672.

Keywords

Bronchoscopy, Pulmonary Disease, Chronic Obstructive, Pulmonary Emphysema

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