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Endobronchial one-way valves for treatment of persistent air leaks: a systematic review
Persistent air leak (PAL) is associated with significant morbidity and mortality, prolonged hospitalization and increased health-care costs. It can arise from a number of conditions, including pneumothorax, necrotizing infection, trauma, malignancies, procedural interventions and complications after...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5674238/ https://www.ncbi.nlm.nih.gov/pubmed/29110704 http://dx.doi.org/10.1186/s12931-017-0666-y |
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author | Ding, Mei Gao, Ya-dong Zeng, Xian-Tao Guo, Yi Yang, Jiong |
author_facet | Ding, Mei Gao, Ya-dong Zeng, Xian-Tao Guo, Yi Yang, Jiong |
author_sort | Ding, Mei |
collection | PubMed |
description | Persistent air leak (PAL) is associated with significant morbidity and mortality, prolonged hospitalization and increased health-care costs. It can arise from a number of conditions, including pneumothorax, necrotizing infection, trauma, malignancies, procedural interventions and complications after thoracic surgery. Numerous therapeutic options, including noninvasive and invasive techniques, are available to treat PALs. Recently, endobronchial one-way valves have been used to treat PAL. We conducted a systematic review based on studies retrieved from PubMed, EMbase and Cochrane library. We also did a hand-search in the bibliographies of relevant articles for additional studies. 34 case reports and 10 case series comprising 208 patients were included in our review. Only 4 patients were children, most of the patients were males. The most common underlying disease was COPD, emphysema and cancer. The most remarkable cause was pneumothorax. The upper lobes were the most frequent locations of air leaks. Complete resolution was gained within less than 24 h in majority of patients. Complications were migration or expectoration of valves, moderate oxygen desaturation and infection of related lung. No death related to endobronchial one-way valves implantation has been found. The use of endobronchial one-way valve adds to the armamentarium for non-invasive treatments of challenging PAL, especially those with difficulties of anesthesia, poor condition and high morbidity. Nevertheless, prospective randomized control trials with large sample should be needed to further evaluate the effects and safety of endobronchial one-way valve implantation in the treatment of PAL. |
format | Online Article Text |
id | pubmed-5674238 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-56742382017-11-15 Endobronchial one-way valves for treatment of persistent air leaks: a systematic review Ding, Mei Gao, Ya-dong Zeng, Xian-Tao Guo, Yi Yang, Jiong Respir Res Review Persistent air leak (PAL) is associated with significant morbidity and mortality, prolonged hospitalization and increased health-care costs. It can arise from a number of conditions, including pneumothorax, necrotizing infection, trauma, malignancies, procedural interventions and complications after thoracic surgery. Numerous therapeutic options, including noninvasive and invasive techniques, are available to treat PALs. Recently, endobronchial one-way valves have been used to treat PAL. We conducted a systematic review based on studies retrieved from PubMed, EMbase and Cochrane library. We also did a hand-search in the bibliographies of relevant articles for additional studies. 34 case reports and 10 case series comprising 208 patients were included in our review. Only 4 patients were children, most of the patients were males. The most common underlying disease was COPD, emphysema and cancer. The most remarkable cause was pneumothorax. The upper lobes were the most frequent locations of air leaks. Complete resolution was gained within less than 24 h in majority of patients. Complications were migration or expectoration of valves, moderate oxygen desaturation and infection of related lung. No death related to endobronchial one-way valves implantation has been found. The use of endobronchial one-way valve adds to the armamentarium for non-invasive treatments of challenging PAL, especially those with difficulties of anesthesia, poor condition and high morbidity. Nevertheless, prospective randomized control trials with large sample should be needed to further evaluate the effects and safety of endobronchial one-way valve implantation in the treatment of PAL. BioMed Central 2017-11-06 2017 /pmc/articles/PMC5674238/ /pubmed/29110704 http://dx.doi.org/10.1186/s12931-017-0666-y Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Review Ding, Mei Gao, Ya-dong Zeng, Xian-Tao Guo, Yi Yang, Jiong Endobronchial one-way valves for treatment of persistent air leaks: a systematic review |
title | Endobronchial one-way valves for treatment of persistent air leaks: a systematic review |
title_full | Endobronchial one-way valves for treatment of persistent air leaks: a systematic review |
title_fullStr | Endobronchial one-way valves for treatment of persistent air leaks: a systematic review |
title_full_unstemmed | Endobronchial one-way valves for treatment of persistent air leaks: a systematic review |
title_short | Endobronchial one-way valves for treatment of persistent air leaks: a systematic review |
title_sort | endobronchial one-way valves for treatment of persistent air leaks: a systematic review |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5674238/ https://www.ncbi.nlm.nih.gov/pubmed/29110704 http://dx.doi.org/10.1186/s12931-017-0666-y |
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