Endoskopische Lungenvolumenreduktion

Die bronchoskopische Lungenvolumenreduktion ist eine sichere und wirksame Therapie für Patienten mit fortgeschrittenem Emphysem, die trotz optimaler konservativer Behandlung unter Atemnot leiden. Die Technik umfasst endobronchiale Einwegventile, thermische Dampfablation und endobronchiale Coil-Implantation. Durch die Verringerung der Hyperinflation verbessern sich Lungenfunktion, körperliche Leistungsfähigkeit und Lebensqualität. Von enormer Wichtigkeit ist das Management von Komplikationen.

Abstract

Bronchoscopic lung volume reduction is as a safe and effective therapy for patients with advanced emphysema, suffering from breathlessness despite optimal medical therapy. By reducing hyperinflation, it improves lung function, exercise capacity and quality of life. The technique includes one-way endobronchial valves, thermal vapor ablation and endobronchial coils. Patient selection is the key to a successful therapy; hence the indication should be evaluated in a multidisciplinary emphysema team meeting. The procedure can lead to a potentially life-threatening complication. Therefore, an adequate post-procedural patient management is crucial.

Schlüsselwörter

Lungenvolumenreduktion - Lungenemphysem - Dampfablation - Coils - Pneumologie

Keywords

lung volume reduction - emphysema - vapor ablation - coils - pneumology

Publication History

Article published online:
14 April 2023

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