Expeditious Resolution of Giant Bullae with Endobronchial Valves and Percutaneous Catheter Insertion
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초록
As bullae contribute to decreased lung function in chronic obstructive pulmonary disease (COPD) patients, effective decompressionof large bullae is important. Bronchoscopic lung volume reduction via endobronchial one-way valves is less invasive and has alower mortality rate than lung volume reduction surgery. We report the case of a 48-year-old male who presented with giant bullaethat were expeditiously resolved with endobronchial valves and percutaneous catheter insertion. Three days later, imaging revealedmarked decreases in the extent of bullae and atelectasis of the contralateral lung without any complications, including airleakage or pneumothorax. Combination of endobronchial valves and percutaneous catheter insertion might be helpful to acceleratethe release of large bullae and to achieve improved lung function and higher levels of physical activity in patients with COPD.
Abstract
As bullae contribute to decreased lung function in chronic obstructive pulmonary disease (COPD) patients, effective decompressionof large bullae is important. Bronchoscopic lung volume reduction via endobronchial one-way valves is less invasive and has alower mortality rate than lung volume reduction surgery. We report the case of a 48-year-old male who presented with giant bullaethat were expeditiously resolved with endobronchial valves and percutaneous catheter insertion. Three days later, imaging revealedmarked decreases in the extent of bullae and atelectasis of the contralateral lung without any complications, including airleakage or pneumothorax. Combination of endobronchial valves and percutaneous catheter insertion might be helpful to acceleratethe release of large bullae and to achieve improved lung function and higher levels of physical activity in patients with COPD.
참고문헌 (17)
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