Outcomes of bronchoscopic lung volume reduction coil treatment in patients with severe emphysema Ağır amfizemi olan hastalarda bronkoskopik akciğer hacim küçültme koil tedavisinin sonuçları

ILGAZLI A. H., ELİÇORA A., SEZER H. F., Küçük S., Pasiyev F., Çiftçi T. K., ...Daha Fazla

Turkish Journal of Thoracic and Cardiovascular Surgery, cilt.31, sa.4, ss.561-567, 2023 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 31 Sayı: 4
  • Basım Tarihi: 2023
  • Doi Numarası: 10.5606/tgkdc.dergisi.2023.24534
  • Dergi Adı: Turkish Journal of Thoracic and Cardiovascular Surgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.561-567
  • Anahtar Kelimeler: Bronchoscopic lung volume reduction, chronic obstructive pulmonary disease, coil, emphysema
  • Kocaeli Üniversitesi Adresli: Evet

Özet

Background: This study aims to evaluate the outcomes of bronchoscopic lung volume reduction coil treatment in patients with severe emphysema. Methods: Between February 2016 and March 2019, a total of 20 severe emphysema patients (19 males, 1 female; mean age: 65.2±5.2 years; range, 52 to 73 years) who underwent bronchoscopic lung volume reduction coil treatment were included. Each patient underwent pre- and post-treatment (6 and 12 months) pulmonary function tests, 6-min walking distance, modified Medical Research Council dyspnea scores, and diffusing capacity of the lung for carbon monoxide tests. Results: An mean number of 12.0±3.8 coils was placed in each lobe. There were significant improvements in the patients' pulmonary function tests and quality of life 12 months after the treatment. There was a significant difference in dyspnea as assessed by the modified Medical Research Council dyspnea scores 12 months after treatment compared to pre-treatment scores (p<0.05). There was no change in the pulmonary function tests six months after treatment, while a significant improvement was seen at 12 months (p<0.05). Conclusion: Bronchoscopic lung volume reduction coil treatment seems to be a promising modality for severe emphysema patients with significant improvements in the pulmonary function test results, modified Medical Research Council dyspnea scores, and 6-min walking distance.