Prediction of the efficiency of endoscopic lung volume reduction by valves in severe emphysema - Université Grenoble Alpes
Article Dans Une Revue Revue des Maladies Respiratoires Année : 2016

Prediction of the efficiency of endoscopic lung volume reduction by valves in severe emphysema

Prédiction de l’efficacité de la réduction endoscopique d’emphysème pulmonaire par valve

Résumé

In severe emphysema, endoscopic lung volume reduction with valves is an alternative to surgery with less morbidity and mortality. In 2015, selection of patients who will respond to this technique is based on emphysema heterogeneity, a complete fissure visible on the CT-scan and absence of collateral ventilation between lobes. Our case report highlights that individualized prediction is possible. Case report: A 58-year-old woman had severe, disabling pulmonary emphysema. A high resolution thoracic computed tomography scan showed that the emphysema was heterogeneous, predominantly in the upper lobes, integrity of the left greater fissure and no collateral ventilation with the left lower lobe. A valve was inserted in the left upper lobe bronchus. At one year, clinical and functional benefits were significant with complete atelectasis of the treated lobe. Conclusion : The success of endoscopic lung volume reduction with a valve can be predicted, an example of personalized medicine.
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Dates et versions

hal-01969493 , version 1 (04-01-2019)

Identifiants

Citer

V. Bocquillon, A. Briault, E. Reymond, F. Arbib, A. Jankowski, et al.. Prediction of the efficiency of endoscopic lung volume reduction by valves in severe emphysema. Revue des Maladies Respiratoires, 2016, 33 (9), pp.794-798. ⟨10.1016/j.rmr.2016.02.011⟩. ⟨hal-01969493⟩

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