Akademik Veri Yönetim Sistemi
MARMARA MEDICAL JOURNAL, cilt.29, ss.16-20, 2016 (ESCI)
Chronic obstructive pulmonary disease (COPD) is a major cause of high mortality and morbidity worldwide. Symptoms of the disease are usually related with the results of pulmonary dynamic hyperinflation. Treatment options are classified as invasive-noninvasive and mostly tend to be palliative. Lung volume reduction techniques are invasive part of the treatment and can be performed by surgical or bronchoscophic methods. Because of the low complication rates bronchoscophic methods became more popular in recent years. Patients presenting with severe air trapping and thoracic hyperinflation have the greatest potential to derive benefit from volume reduction procedures. Assessment of patients should ideally include cardiological evaluation, high resolution CT scan, ventilation and perfusion scintigraphy, full pulmonary function tests, and cardiopulmonary exercise testing.