[使用 FreeFlow Coil #4 在内窥镜下缩小肺容积的首次经验:三名患者的病例系列]。

IF 1.2 Q4 RESPIRATORY SYSTEM
Pneumologie Pub Date : 2024-08-15 DOI:10.1055/a-2368-5046
Paul Ferdinand Fiedler, Karl-Josef Franke
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引用次数: 0

摘要

肺容积缩小疗法是一种治疗严重肺气肿患者的成熟疗法。在德国,使用镍钛诺线圈治疗是内窥镜肺容积缩小术治疗正侧向通气患者的唯一方法,已获得德国联邦卫生部批准。因此,这种治疗方法可作为标准治疗方法进行,并可确保报销。最初的线圈停产多年后,唯一的制造商被一家大公司收购,到 2022 年底,欧洲市场上出现了一种新的镍钛诺线圈,即所谓的 4 号线圈。新的 4 号线圈具有不同的形状、不同的应用导管,植入过程也与原产品不同。我们报告了使用新型 4 号线圈在三名肺气肿患者身上进行内窥镜肺容积缩小术的经验。手术过程无并发症。三位患者的肺功能指标均有改善,达到了最小临床意义差异。在三名患者中,有两名患者的 6MWT 距离有了临床意义上的改善,SGRQ 和 CAT 评分也有所提高。我们认为,这组病例只是对 4 号线圈可能性的一个展望。在获得更多数据之前,我们将继续谨慎地为特定患者提供 4 号线圈治疗,并不断评估治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[First experience in endoscopic lung volume reduction with the FreeFlow Coil #4: A case series with three patients].

Lung volume reduction therapy is an established treatment for patients with severe emphysema of the lung. In Germany, the treatment with nitinol coils is the only method for endoscopic lung volume reduction in patients with positive collateral ventilation approved by the Gemeinsamer Bundesausschuss. Therefore this procedure can be performed as standard-of-care and has assured reimbursement. After the production of the initial coils was stopped for years, when the only manufacturer had been bought by a large corporation, by the end of 2022 there was a new nitinol-coil, the so called Coil #4, becme available in the European market. The new Coil #4 has a different shape, different application catheter and the implantation procedure differs from that of the original product. We report our experience in endoscopic lung volume reduction with the new Coil #4 in three patients with emphysema. The procedure was performed without complications. All three of them showed improvement in lung function parameters meeting minimal clinically important differences. In two of three patients, we also saw clinically relevant improvement in the 6MWT distance und improvements in SGRQ und CAT-Score. In our opinion, this case series is just a prospect of the possibilities that come with the Coil #4. With due caution, we will continue to offer the Coil #4 as a treatment for selected patients under constant evaluation of the outcome until more data is available.

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来源期刊
Pneumologie
Pneumologie RESPIRATORY SYSTEM-
CiteScore
1.80
自引率
16.70%
发文量
416
期刊介绍: Organ der Deutschen Gesellschaft für Pneumologie DGP Organ des Deutschen Zentralkomitees zur Bekämpfung der Tuberkulose DZK Organ des Bundesverbandes der Pneumologen BdP Fachärzte für Lungen- und Bronchialheilkunde, Pneumologen und Allergologen
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