Tratamiento endoscópico del enfisema
Endoscopic treatment of emphysema
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Hospital Son Dureta. Palma de Mallorca. Fundació Caubet-CIMERA. Bunyola. Illes Balears. España." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Endoscopic treatment of emphysema" ] ] "pdfFichero" => "6v42nSupl.2a13097279pdf001.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec191383" "palabras" => array:4 [ 0 => "Enfisema" 1 => "EPOC" 2 => "Broncoscopia" 3 => "Reducción de volumen pulmonar" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec191384" "palabras" => array:4 [ 0 => "Emphysema" 1 => "COPD" 2 => "Bronchoscopy" 3 => "Lung volume reduction" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "El enfisema pulmonar grave es causa importante de morbimortalidad. Puede tratarse con cirugía de reducción de volumen, pero sólo se beneficia un subgrupo de pacientes y no está exenta de efectos adversos graves. La broncoscopia de reducción de volumen es un método alternativo poco invasivo y sin los efectos adversos de la cirugía de reducción de volumen. El método más utilizado por su facilidad y eficacia es el de las válvulas endobronquiales, que pueden colocarse por fibrobroncoscopia y con anestesia local. No obstante, hay un subgrupo de pacientes que no mejoran, y se cree que es debido al aumento de la ventilación colateral. Estos pacientes podrían ser candidatos a broncoscopia de reducción de volumen, pero con otro método como el del bypass mediante fenestraciones bronquiales. Aunque los estudios realizados con válvulas son esperanzadores, se debe esperar a los resultados de 2 estudios multicéntricos controlados antes de su implantación en la práctica clínica." ] "en" => array:1 [ "resumen" => "Severe pulmonary emphysema causes substantial morbidity and mortality. This disease can be treated with lung volume reduction surgery (LVRS) but only a subgroup of patients will derive a benefit and the procedure is not free of severe adverse effects. Bronchoscopic lung volume reduction (BLVR) is a minimally invasive procedure without the adverse effects of LVRS. Due to its ease of use and effectiveness, the most commonly employed method is endobronchial valve placement through fiberoptic bronchoscopy under local anesthetic. Nevertheless, a subgroup of patients will not improve due to an increase in collateral ventilation. These patients may be suitable for BLVR using other techniques such as airway bypass through bronchial fenestration. Although studies performed with valves are encouraging, the results of two controlled multicenter studies should be known before this technique is implemented in clinical practice." ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/00000042000000S2/v0_201307090905/13097279/v0_201307090905/es/main.assets" "Apartado" => array:4 [ "identificador" => "14582" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "''Hot topics'' 2006 en neumología" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/00000042000000S2/v0_201307090905/13097279/v0_201307090905/es/6v42nSupl.2a13097279pdf001.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13097279?idApp=UINPBA00003Z" ]
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