ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Outcomes of bronchoscopic lung volume reduction coil treatment in patients with severe emphysema
Ahmet Hamdi Ilgazlı1, Aykut Eliçora2, Hüseyin Fatih Sezer2, Salih Küçük3, Fuad Pasiyev1, Tuba Küsbeci Çiftçi4, Fulya Omak Kaya3, Elif Guliyev1, Ersin Alkılınç1, Canan Baydemir5, Zeliha Arslan Ulukan6, Salih Topçu2
1Department of Chest Diseases, Medicine Faculty of Kocaeli University, Kocaeli, Türkiye
2Department of Thoracic Surgery, Medicine Faculty of Kocaeli University, Kocaeli, Türkiye
3Department of Chest Diseases, Kocaeli State Hospital, Kocaeli, Türkiye
4Department of Chest Diseases, Yozgat City Hospital, Yozgat, Türkiye
5Department of Biostatistics and Medical Informatics, Medicine Faculty of Kocaeli University, Kocaeli, Türkiye
6Department of Chest Diseases, Medicana International, Istanbul, Türkiye
DOI : 10.5606/tgkdc.dergisi.2023.24534
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.

Keywords : Bronchoscopic lung volume reduction, chronic obstructive pulmonary disease, coil, emphysema
Viewed : 581
Downloaded : 225