
Endoscopic lung volume reduction with coils
Author(s) -
M J Vorster
Publication year - 2015
Publication title -
south african respiratory journal
Language(s) - English
Resource type - Journals
ISSN - 2304-0017
DOI - 10.7196/sarj.8442
Subject(s) - lung volume reduction surgery , lung volume reduction , medicine , lung , modality (human–computer interaction) , reduction (mathematics) , lung volumes , selection (genetic algorithm) , intensive care medicine , surgery , computer science , geometry , mathematics , human–computer interaction , artificial intelligence
The use of endoscopic lung volume reduction (ELVR) as a minimally invasive procedure with significantly lower morbidity and mortality than surgery, is fast becoming a new treatment modality for a select group of patients with severe emphysema. Lung volume reduction can be achieved either by surgery (LVRS) or the use of endoscopic techniques. Although LVRS offers survival benefit and increased exercise capacity in selected patients, this comes at a price with significant associated morbidity and mortality. The use of endoscopic lung volume reduction (ELVR) aims to reduce the risks and costs of surgery with comparable physiological benefits. Current evidence suggests that not all classes and phenotypes of emphysema will benefit from lung volume reduction, and that individual techniques may benefit different subgroups of patients. It therefore remains paramount that a systematic approach is followed and selection criteria are met, given the high costs and potential complications related to both LVRS and ELVR