Novel Technologies in Endoscopic Lung Volume Reduction.
Endoscopic lung volume reduction (ELVR) presents an effective therapy in patients with advanced emphysema. Different ELVR techniques are available differing in mechanism of action, degree of reversibility and safety. Precise patient selection with respect to pulmonary function test, emphysema distribution, and collateral ventilation are prerequisites for a successful use of the various ELVR techniques. To date, there are only a few randomized controlled trials for bronchoscopic therapy in patients with chronic obstructive pulmonary disease, so the various techniques should be performed within clinical trials or registry studies.
Pneumology and Critical Care Medicine, Thoraxklinik at University of Heidelberg, Röntgenstr. 1, Heidelberg 69126, Germany.
Daniela
D
Gompelmann
Pneumology and Critical Care Medicine, Thoraxklinik at University of Heidelberg, Röntgenstr. 1, Heidelberg 69126, Germany. Electronic address: felix.herth@med.uni-heidelberg.de.
Felix J F
FJ
Herth
D001999:Bronchoscopy / Q000379:methods*; D006801:Humans; D008168:Lung / Q000601:surgery*; D011013:Pneumonectomy / Q000379:methods*; D029424:Pulmonary Disease, Chronic Obstructive / Q000601:surgery*
COPD; Emphysema; Endoscopic lung volume reduction; Interventional bronchoscopy