TY - JOUR T1 - The efficacy of lung volume reduction coil practice to type-2 respiratory insufficiency in severe COPD cases JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2015.PA3962 VL - 46 IS - suppl 59 SP - PA3962 AU - Fidan Sever AU - Askin Gulsen AU - Ayse Pelin Girgin AU - Necdet Batuhan Tamci AU - Hatice Yilmaz Y1 - 2015/09/01 UR - http://erj.ersjournals.com/content/46/suppl_59/PA3962.abstract N2 - Introduction: Emphysema is a progressive and irreversible disease, proceeding with the decrease in elastic recoil which is connected to tissue damage caused by chronic inflammation. Endobronchial Lung Volume Reduction Coil method (LVRC) in patients with an advanced level of emphysema and irresponsive to medical treatment is shown to provide increase in lung volumes and exercise capacity, decrease in dyspnea, and increase in quality of life.Aims: The efficiency of volume reduction on hypercapnia is researched on two severe COPD patients who are followed because of hypercapnia and with the practise of LVRC on two lungs.Methods: Two woman cases at the age of 67 and 82. LVRC is practiced in both lungs upper lobs in cases with severe COPD (FEV1<%45) and Type-2 respiratory insufficiency and having medical treatment and CPAP treatment. For one year, cases are followed by blood gas analysis.Results: The cases are seen to have significant decreases in PCO2 degrees in blood gas analysis since the 1st month of LVRC treatmentView this table:[table 1]View this table:[table 2]Conclusions: LVRC can provide physiological and functional recovery and progress in quality of life in severe COPD cases. LVRC is considered to be an effective method not only in hypoxic respiratory insufficiency, but also in hypercapniac respiratory insufficiency. ER -