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Bronchiectasis Complicating Lung Volume Reduction Coil Treatment.
Marie Pierre Debray1, Armelle Marceau2, Marie Christine Dombret3
1Service de Radiologie, Hôpital Bichat, Assistance Publique Hôpitaux de Paris, Paris, France.
Chest
|September 12, 2017
Summary
Endoscopic lung volume reduction using coils can improve emphysema symptoms. However, a rare complication of localized bronchiectasis at the coil insertion site has now been described.
Area of Science:
- Pulmonology
- Interventional Pulmonology
- Respiratory Medicine
Background:
- Endoscopic lung volume reduction (ELVR) with coils is an established treatment for advanced emphysema.
- ELVR aims to improve respiratory function and quality of life in eligible patients.
- While generally safe, potential complications require ongoing monitoring and characterization.
Observation:
- A case study involving a patient with advanced emphysema who underwent ELVR coil treatment.
- The patient developed localized bronchiectasis.
- Bronchiectasis was identified at the specific site of coil insertion.
Findings:
- This case report describes a previously undocumented complication of ELVR coil therapy.
- Localized bronchiectasis developed several months post-procedure at the coil insertion site.
- This suggests a potential link between the implanted coils and airway structural changes.
Implications:
- Highlights a novel complication associated with lung volume reduction coils.
- Emphasizes the need for vigilance regarding potential long-term sequelae of ELVR.
- May inform future device design and patient monitoring protocols for ELVR procedures.
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