Franzen Daniel, Straub Gilles, Steinack Carolin
Department of Pulmonology, University Hospital Zurich, 8091, Zurich, Switzerland.
Respir Med Case Rep. 2020 Apr 3;30:101048. doi: 10.1016/j.rmcr.2020.101048. eCollection 2020.
Compared to surgery there is no evidence on bronchoscopic lung volume reduction (LVR) in patients with fading benefit after LVR surgery. CASE REPORT: We present a case of 64-year old female patient who was successfully treated with bronchial thermal vapor ablation (BTVA) after previous ineffective lung volume reduction (LVR) surgery several months earlier. CONCLUSIONS: Bronchoscopic LVR, in particular BTVA, might be considered in patients with fading or missing effects after previous LVRS. At least, the safety profile of BTVA seems not be adversely affected by previous LVRS, when proper patient selection and procedure planning are ensured.
与手术相比，对于肺减容手术（LVR）后获益逐渐减少的患者，尚无关于支气管镜下肺减容（LVR）的证据。病例报告：我们报告一例64岁女性患者，该患者在数月前接受的肺减容（LVR）手术无效后，成功接受了支气管热蒸汽消融（BTVA）治疗。结论：对于先前肺减容手术（LVRS）后效果逐渐减弱或消失的患者，可考虑支气管镜下肺减容，尤其是BTVA。至少，在确保正确选择患者和进行手术规划时，BTVA的安全性似乎不会受到先前LVRS的不利影响。
