1. Changes in dynamic lung mechanics after lung volume reduction coil treatment of severe emphysema.
- Author
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Makris D, Leroy S, Pradelli J, Benzaquen J, Guenard H, Perotin JM, Zakynthinos S, Zakynthinos E, Deslee G, and Marquette CH
- Subjects
- Adult, Aged, Alloys, Bronchoscopy, Female, Humans, Lung Compliance, Lung Volume Measurements, Middle Aged, Prospective Studies, Physical Endurance physiology, Pneumonectomy methods, Pulmonary Emphysema physiopathology, Pulmonary Emphysema surgery, Respiratory Mechanics physiology
- Abstract
We assessed the relationships between changes in lung compliance, lung volumes and dynamic hyperinflation in patients with emphysema who underwent bronchoscopic treatment with nitinol coils (coil treatment) (n=11) or received usual care (UC) (n=11). Compared with UC, coil treatment resulted in decreased dynamic lung compliance (C
Ldyn ) (p=0.03) and increased endurance time (p=0.010). The change in CLdyn was associated with significant improvement in FEV1 and FVC, with reduction in residual volume and intrinsic positive end-expiratory pressure, and with increased inspiratory capacity at rest/and at exercise. The increase in end-expiratory lung volume (EELV) during exercise (EELVdyn-ch =EELVisotime EELVrest ) demonstrated significant attenuation after coil treatment (p=0.02)., Competing Interests: Competing interests: None declared., (© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)- Published
- 2018
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