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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.
Endobronchial valves may be the first successful medical device treatment of emphysema, a disease that affects millions of people worldwide and has no known cure, being managed traditionally by lung transplantation and/or lung volume reduction surgery (though some people do not meet the eligibility requirements for one or both of these invasive ...
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.
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 surgery, or LVRS, can improve the quality of life for certain patients with COPD of emphysematous type, when other treatment options are not enough. Parts of the lung that are particularly damaged by emphysema are removed, allowing the remaining, relatively good lung to expand and work more efficiently.
Smoking cessation is an essential aspect of treatment. [9] Pulmonary rehabilitation programmes involve intensive exercise training combined with education and are effective in improving shortness of breath. Severe emphysema has been treated with lung volume reduction surgery, with in carefully chosen cases.
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