Bronchoscopic volume reduction in severe emphysema

Çaǧatay Tezel, Cemal Asim Kutlu

Research output: Contribution to journalArticlepeer-review

Abstract

For the past decade, volume reduction surgical intervention has been adopted for the management of end-stage emphysematous lung diseases, as an alternative to medical treatment. Within the same purpose, endobronchial volume reduction surgery has been used recently for the patients who are not eligible for surgery. In this article, we present a 55-year-old male patient with a significant bilateral lower lobe emphysematous lung disease accompanied by a forced expiratory volume in one second (FEV1) value of 0.47 lt (13%). He underwent bronchoscopic occlusion of segmental and subsegmental bronchial occlusion using nine "Endobronchial Watanabe Spigot's" through rigid bronchoscope. After six months of follow-up, FEV1 value was estimated as 0.74 lt (21%), which was nearly twofold increase compared to preoperative levels. Total lung capacity and residual volume was reduced to 9.2 lt (102%) and 4.2 lt (150%), respectively. This minimal invasive endobronchial methods may be effective in patients who are in the waiting list of transplantation or ineligible candidates for surgery.

Original languageEnglish
Pages (from-to)947-950
Number of pages4
JournalTurkish Journal of Thoracic and Cardiovascular Surgery
Volume20
Issue number4
DOIs
Publication statusPublished - 2012
Externally publishedYes

Keywords

  • Bronchoscopy
  • Emphysema
  • Endobronchial treatment
  • Volume reduction surgery

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