Bronchoscopic Lung Volume Reduction

Javier Flandes; Francisco J Soto; Rosa Cordovilla; Enrique Cases; Javier Alfayate

doi:10.1016/j.ccm.2017.11.013

Bronchoscopic Lung Volume Reduction

Clin Chest Med. 2018 Mar;39(1):169-180. doi: 10.1016/j.ccm.2017.11.013.

Authors

Javier Flandes¹, Francisco J Soto², Rosa Cordovilla³, Enrique Cases⁴, Javier Alfayate⁵

Affiliations

¹ Bronchology and Interventional Pulmonology Unit, IIS-Fundación Jiménez Díaz, CIBERES, Avenida Reyes Catolicos No 2, Madrid 28040, Spain. Electronic address: jflandes@quironsalud.es.
² Pulmonary and Critical Care, Department of Medicine, University of Tennessee Medical Center, 1940 Alcoa Hwy e, Knoxville, TN 37920, USA.
³ Bronchology and Interventional Pulmonology Unit, Salamanca University Hospital, Paseo de San Vicente 58, Salamanca 37007, Spain.
⁴ Bronchology and Interventional Pulmonology Unit, La Fe University Hospital, Avenida Fernando Abril Martorell 106, Valencia 46026, Spain.
⁵ Bronchology and Interventional Pulmonology Unit, IIS-Fundación Jiménez Díaz, CIBERES, Avenida Reyes Catolicos No 2, Madrid 28040, Spain.

PMID: 29433712
DOI: 10.1016/j.ccm.2017.11.013

Abstract

Since the publication of the National Emphysema Treatment Trial study, lung volume reduction (LVR) has been considered a therapeutic alternative for patients with advanced obstructive lung disease. The high complication rate of surgical LVR has led to the development of bronchoscopic LVR (BLVR). Of the currently available BLVR alternatives, coils and unidirectional endobronchial valves lead the list. The choice of each device depends on emphysema characteristics and presence of collateral ventilation. Evaluation of these patients at centers with expertise in interventional pulmonology and management of BLVR is strongly recommended.

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

Publication types

Review

MeSH terms

Bronchoscopy / instrumentation
Bronchoscopy / methods*
Humans
Pneumonectomy / methods*