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Ther Adv Respir Dis · Jan 2018
ReviewWhat is the role of bronchial thermoplasty in the management of severe asthma?
- Aoife O'Reilly and Stephen Lane.
- Tallaght Hospital, Tallaght, Dublin 24, D24 NR0A, Ireland.
- Ther Adv Respir Dis. 2018 Jan 1; 12: 1753466618792410.
AbstractAsthma is a common chronic inflammatory condition of the airways. Conventional therapy comprises inhaled corticosteroid and bronchodilators as well as trigger avoidance and management of comorbid conditions. A small group remain symptomatic despite these strategies and novel therapies have been developed. Bronchial thermoplasty is a nonpharmacological therapy which targets airway smooth muscle to improve asthma control. Clinical trials to date have shown the efficacy and safety of bronchial thermoplasty with a persistent effect on extended follow up. Questions remain regarding the exact mechanism of action of bronchial thermoplasty, the cost effectiveness of the procedure and the ideal criteria for patient selection.
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