Endobronchial coils for COPD palliation: A single institution experience

Over the last decade, several endobronchial lung volume reduction (ELVR) procedures for advanced COPD have been developed. Here we present our instutition's experience in ELVR with Endobronchial Coils(EC). All patients who underwent ELVR with EC were recorded in a prospective database. Age, gender, PFTs, postoperative morbidity, mortality, pre and postoperative (6 months) 6-minute-walking-tests (6MWT), mMRC scores, Hospital Anxiety and Depression Scale (HADS) scores were recorded. Pre and postoperative means were compared with paired T test, using SPSS 20.0 software. Between April 2013 and October 2014, 46 patients (45 male) underwent 57 EC procedures (11 bilateral EC). Mean age was 61 (StD=8). Pre and postoperative functional studies are shown in [table 1][1]. Average of 10 (9-15) coils were inserted per lobe ( RUL=33, LUL=18, RLL=2, LLL=4) Mean follow up time was 12 months (+/-5). 3 patients had COPD flare up, 2 had pneumonia within first 30 days. 1 patient died at 6 months, due to complications from lung transplant procedure. View this table: table 1 EC offers satisfactory COPD palliation for appropriate patients with lower morbidity/mortality rates. Endobronchial coiling leads significant improvement in quality of life and comparable improvements in objective functional measurements. [1]: #T1