Bronchoscopic Lung Volume Reduction: A Clinical Review

Shourjo Chakravorty; Mahwish Bari; Duy Kevin Duong; Priya P Patel; Amit K Mahajan

doi:10.1016/j.thorsurg.2023.04.014

Bronchoscopic Lung Volume Reduction: A Clinical Review

Thorac Surg Clin. 2023 Aug;33(3):245-250. doi: 10.1016/j.thorsurg.2023.04.014.

Authors

Shourjo Chakravorty¹, Mahwish Bari², Duy Kevin Duong³, Priya P Patel³, Amit K Mahajan⁴

Affiliations

¹ Department of Medicine, Inova Fairfax Medical Center, Falls Church, VA, USA.
² Lung/Interventional Pulmonology, Inova Schar Cancer Institute, Falls Church, VA, USA.
³ Department of Interventional Pulmonology, Inova Schar Cancer Institute, Inova Fairfax Hospital, Falls Church, VA, USA.
⁴ Interventional Pulmonology, Department of Surgery, Inova Schar Cancer Institute, Inova Fairfax Hospital, Falls Church, VA, USA. Electronic address: amit.mahajan@inova.org.

PMID: 37414480
DOI: 10.1016/j.thorsurg.2023.04.014

Abstract

Bronchoscopic lung volume reduction (BLVR) for the treatment of emphysema was originally developed in the early 2000s as a minimally invasive alternative to lung volume reduction surgery. Endobronchial valves for BLVR are an advancing "guideline treatment" in the treatment of advanced emphysema. Placement of small, one-way valves into segmental or subsegmental airways can induce lobar atelectasis for portions of diseased lung. This results in the reduction of hyperinflation along with improvements in diaphragmatic curvature and excursion.

Keywords: Bronchoscopic lung volume reduction; Emphysema; Endobronchial valves.

Publication types

Review

MeSH terms

Bronchoscopy / methods
Emphysema* / surgery
Humans
Lung / surgery
Pneumonectomy / adverse effects
Pneumonectomy / methods
Pulmonary Emphysema* / surgery
Treatment Outcome