Bronchology and Interventional Pulmonology Unit, IIS-Fundación Jiménez Díaz, CIBERES, Avenida Reyes Catolicos No 2, Madrid 28040, Spain.
Pulmonary and Critical Care, Department of Medicine, University of Tennessee Medical Center, 1940 Alcoa Hwy e, Knoxville, TN 37920, USA.
Clin Chest Med. 2018 Mar;39(1):169-180. doi: 10.1016/j.ccm.2017.11.013.
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.
自国家肺气肿治疗试验研究发表以来，肺减容术（LVR）已被认为是晚期阻塞性肺疾病患者的一种治疗选择。手术性 LVR 的高并发症率导致了支气管镜下 LVR（BLVR）的发展。在目前可用的 BLVR 替代方法中，线圈和单向支气管内瓣膜占据主导地位。每种设备的选择取决于肺气肿的特征和侧支通气的存在。强烈建议这些患者在具有介入肺病学专业知识和 BLVR 管理经验的中心进行评估。
