Reducción de volumen pulmonar endoscópica en enfisema pulmonar avanzado: Casos clínicos

• Sebastián Fernández-Bussy ^[1] ; Gonzalo Labarca ^[2] ; Iván Caviedes ^[1] ; Hiren J Mehta ^[3] ; Michael Jantz ^[3] ; Adnan Majid ^[4]
  1. [1] Clínica Alemana

     Clínica Alemana

     Santiago, Chile

     
  2. [2] Universidad San Sebastián

     Universidad San Sebastián

     Comuna de Concepción, Chile

     
  3. [3] University of Florida-Gainesville Division of Pulmonary, Critical Care, and Sleep Medicine
  4. [4] Harvard Medical School Beth Israel Deaconess Center Division of Interventional Pulmonology and Thoracic Surgery

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• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 145, Nº. 5, 2017, págs. 667-672
• Idioma: español
• Títulos paralelos:
  • Endoscopic lung volume reduction in advanced pulmonary emphysema: initial experience in Chile
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• Resumen

  • Chronic obstructive pulmonary disease (COPD) has no curative treatment, and in moderate to advanced stages, functional parameters and quality of life are affected. Lung volume reduction improves respiratory parameters and quality of life of these patients. Endoscopic lung volume reduction is a minimally invasive procedure that uses endobronchial valves or coils. Valves are unidirectional, blocking the air from entering the target lobe during inspiration, allowing the exit of air and secretions during expiration. Complete fissure and absence of collateral ventilation are needed for an adequate functioning of endobronchial valves. Endobronchial coils cause mechanical retraction of the lung parenchyma. We report two patients who underwent endoscopic lung volume reduction by endobronchial valves. One patient was on continuous positive pressure non-invasive ventilation due to his severe emphysema.