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Bronchoscopic lung volume reduction (BLVR) is a procedure to reduce the volume of air within the lungs. BLVR was initially developed in the early 2000s [ 1 ] [ 2 ] as a minimally invasive treatment for severe COPD that is primarily caused by emphysema .
This leaves the rest of the lung to expand more normally and avoid air-trapping. Endobronchial valves are typically implanted using a flexible delivery catheter advanced through a bronchoscope in minimally invasive bronchoscopic lung volume reduction procedures in the treatment of severe emphysema. The valves are also removable if they are not ...
Before and after lung surgery [9] Interstitial lung disease: Pulmonary rehabilitation may be safe and may help improve functional exercise capacity, a person's short-term quality of life, and improve shortness of breath . [8] Asthma: moderate quality evidence suggests asthmatics may have improvement in quality of life and exercise capacity.
The intent of lung volume reduction is to achieve the complete collapse (atelectasis) of an entire lobe of the lung in order to reduce volume in the chest, restore elastic recoil and improve breathing. Interlobar collateral ventilation can prevent this.
Some people may benefit from long-term oxygen therapy, lung volume reduction and lung transplantation. [22] In those who have periods of acute worsening, increased use of medications, antibiotics, corticosteroids and hospitalization may be needed. [23] As of 2015, COPD affected about 174.5 million people (2.4% of the global population). [7]
Lung volume reduction may be offered to those with advanced emphysema. When other treatments fail, and the emphysema is in the upper lobes, a surgical option may be possible. [ 49 ] A number of minimally invasive bronchoscopic procedures are increasingly used to reduce lung volume.