scholarly journals Physiological Modeling of Responses to Upper Versus Lower Lobe Lung Volume Reduction in Homogeneous Emphysema

2012 ◽  
Vol 3 ◽  
Author(s):  
Arschang Valipour ◽  
Mordechai R. Kramer ◽  
Franz Stanzel ◽  
Axel Kempa ◽  
Sherwin Asadi ◽  
...  
2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Mohammed J Al-Jaghbeer ◽  
Umur Hatipoglu ◽  
Sid Murthy ◽  
Yvonne Meli ◽  
Atul C Mehta

ABSTRACT Lung volume reduction surgery (LVRS) is an option for select patients with advanced chronic obstructive pulmonary disease (COPD). Current guidelines recommend LVRS for patients with appropriate physiology and heterogeneous distribution of emphysema predominately involving upper lobes. We present an unusual case of a 72-year-old male with an advanced COPD who suffered with recurrent exacerbations despite optimal medical management. He underwent a two-stage bilateral lower lobe LVRS for heterogeneous lower lobe emphysema via video-assisted thoracoscopic (VATS) approach. This resulted in a significant subjective as well as objective improvement in his pulmonary functions, 6-min walk distance and subsequent discontinuation of supplemental oxygen.


2019 ◽  
Vol 13 (7) ◽  
pp. 453-459
Author(s):  
Li Yang ◽  
Kelvin Hsu ◽  
Jonathan P. Williamson ◽  
Matthew J. Peters ◽  
Kevin Ho‐Shon ◽  
...  

2016 ◽  
Vol 23 (suppl 1) ◽  
pp. i6.3-i6
Author(s):  
Periklis Perikleous ◽  
A. Sharkey ◽  
I. Oey ◽  
S. Tenconi ◽  
S. Rathinam ◽  
...  

2017 ◽  
Vol 52 (5) ◽  
pp. 982-988 ◽  
Author(s):  
Periklis Perikleous ◽  
Annabel Sharkey ◽  
Inger Oey ◽  
Rocco Bilancia ◽  
Sara Tenconi ◽  
...  

Medicina ◽  
2019 ◽  
Vol 55 (3) ◽  
pp. 65
Author(s):  
Eric Marchand ◽  
Jean-Paul d’Odemont ◽  
Michael V Dupont

Lung hyperinflation is a main determinant of dyspnoea in patients with chronic obstructive pulmonary disease (COPD). Surgical or bronchoscopic lung volume reduction are the most efficient therapeutic approaches for reducing hyperinflation in selected patients with emphysema. We here report the case of a 69-year old woman with COPD (GOLD stage 3-D) referred for lung volume reduction. She complained of persistent disabling dyspnoea despite appropriate therapy. Chest imaging showed marked emphysema heterogeneity as well as severe hyperinflation of the right lower lobe. She was deemed to be a good candidate for bronchoscopic treatment with one-way endobronchial valves. In the absence of interlobar collateral ventilation, 2 endobronchial valves were placed in the right lower lobe under general anaesthesia. The improvement observed 1 and 3 months after the procedure was such that the patient no longer met the pulmonary function criteria for COPD. The benefit persisted after 3 years.


Pneumologie ◽  
2014 ◽  
Vol 68 (S 01) ◽  
Author(s):  
C Pizarro ◽  
R Schueler ◽  
C Hammerstingl ◽  
J Kreuz ◽  
U Juergens ◽  
...  

Pneumologie ◽  
2015 ◽  
Vol 69 (S 01) ◽  
Author(s):  
C Pizarro ◽  
H Ahmadzadehfar ◽  
M Essler ◽  
G Nickenig ◽  
D Skowasch

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