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Review
. 2008 May 1;5(4):447-53.
doi: 10.1513/pats.200707-107ET.

Lung transplantation and lung volume reduction surgery versus transplantation in chronic obstructive pulmonary disease

Namrata Patel  1 , Malcolm DeCamp, Gerard J Criner
Affiliations
Review

Lung transplantation and lung volume reduction surgery versus transplantation in chronic obstructive pulmonary disease

Namrata Patel et al. Proc Am Thorac Soc. .

Abstract

Lung transplantation and lung volume reduction surgery are surgical options for patients with advanced chronic obstructive pulmonary disease that is refractory to medical treatment. In this review, we discuss the differential indications for each procedure, as well as compare their risks and benefits. We also present an algorithm for selecting the most appropriate procedure for individual patients. Finally, we discuss the feasibility and role of lung transplantation after lung volume reduction surgery in the management of selected patients with chronic obstructive pulmonary disease.

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Figures

<b>Figure 1.</b>
Figure 1.
Suggested algorithm defining surgical options for patients with severe chronic obstructive pulmonary disease. 6MWD = distance walked in 6 minutes; COPD = chronic obstructive pulmonary disease; DlCO = diffusion capacity of carbon monoxide; HRCT = high-resolution computed tomography; PAM = mean pulmonary artery pressure; QOL = quality of life; RV = residual volume; TLC = total lung capacity. *BODE Index as developed by Celli and coworkers (see Reference 9).
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