Division of Pulmonary, Critical Care, Sleep and Allergy, University of Illinois Hospital & Health Sciences System, Chicago; Chicago Chest Center, Elk Grove Village, IL.
Suburban Lung Associates, Elk Grove Village, IL.
Chest. 2013 Aug;144(2):661-665. doi: 10.1378/chest.12-2746.
Unidirectional endobronchial valves, originally studied for potential treatment of emphysema, have emerged as a useful intervention for patients with persistent air leak from the lung. The procedure is accomplished via bronchoscopy in a patient who already has a chest tube in place for management of the air leak. It uses an occluding balloon to determine the specific airway(s) leading to the leak by impact on airflow and subsequent placement of removable valve(s) in one or more segment or subsegments to decrease flow across the leak to allow for healing of the fistula. Specific US Food and Drug Administration-approved criteria for placement and removal of these valves via a Humanitarian Device Exemption are discussed along with reported outcomes. Current Procedural Terminology codes effective for 2013 that are specific to the procedure are reviewed.
单向支气管内瓣膜最初是为治疗肺气肿而研究的，现已成为治疗肺部持续漏气的一种有效干预措施。该手术通过支气管镜进行，患者已经有胸腔引流管用于管理漏气。它使用阻塞球囊通过对气流的影响来确定导致漏气的特定气道，然后在一个或多个节段或亚段中放置可移动的瓣膜，以减少流经漏气的流量，从而促进瘘的愈合。本文讨论了经人道主义设备豁免批准放置和取出这些瓣膜的特定美国食品和药物管理局标准，以及报告的结果。还回顾了针对该手术的 2013 年现行医疗程序术语代码。
