{"id":102116,"date":"2026-10-16T08:42:22","date_gmt":"2026-10-16T13:42:22","guid":{"rendered":"https:\/\/pulmonx.com\/?page_id=102116"},"modified":"2026-10-16T08:46:27","modified_gmt":"2026-10-16T13:46:27","slug":"persisterande-luftlackage","status":"publish","type":"page","link":"https:\/\/pulmonx.com\/sv\/teknik\/persisterande-luftlackage\/","title":{"rendered":"Persisterande Luftlackage"},"content":{"rendered":"\n
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Bronkoskopisk behandling av persisterande luftl\u00e4ckage
\nMinimalt invasiv behandling<\/h1>\n <\/div>\n<\/div>\n
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Ett persisterande luftl\u00e4ckage (PAL) i lungan definieras som ett luftl\u00e4ckage som varar l\u00e4ngre \u00e4n 5\u20137 dagar, vilket leder till f\u00f6rl\u00e4ngd behandling med thoraxdr\u00e4nage och sjukhusvistelse och kan \u00f6ka sjukligheten.\u00b9-\u2076<\/sup><\/p><\/div><\/div><\/div><\/div> <\/div>\n<\/div>\n\n

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Zephyr\u00ae<\/sup>-ventiler, som placeras minimalt invasivt via ett bronkoskop, behandlar persisterande luftl\u00e4ckage effektivt och kan f\u00f6rkorta sjukhusvistelsen j\u00e4mf\u00f6rt med enbart standardbehandling med thoraxdr\u00e4nage.7<\/sup><\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n
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Vad \u00e4r ett persisterande luftl\u00e4ckage?<\/h1>\n <\/div>\n<\/div>\n
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Ett luftl\u00e4ckage i lungan definieras som luft som str\u00f6mmar ut fr\u00e5n lungan till pleurah\u00e5lan, vilket leder till pneumothorax. Det orsakas av en alveol\u00e4r-pleurafistel, dvs. en kommunikation mellan alveolerna och pleurarummet. Detta kan ocks\u00e5 intr\u00e4ffa mellan en bronk och lungs\u00e4cken, en bronko-pleurafistel.\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n

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Om luft forts\u00e4tter att passera genom fisteln och in i pleurarummet kan luftansamlingen bli s\u00e5 omfattande att den hindrar lungans expansion och kr\u00e4ver behandling med ett thoraxdr\u00e4nage.\u00b9<\/sup><\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n
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Ett persisterande luftl\u00e4ckage definieras som ett luftl\u00e4ckage som varar i mer \u00e4n 5 till 7 dagar.<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n
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Hur behandlar Zephyr-ventiler persisterande luftl\u00e4ckage?<\/h1>\n <\/div>\n<\/div>\n
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Zephyr-ventiler placeras via ett bronkoskop under antingen vaken sedering eller narkos.8<\/sup><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n

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Zephyr-ventiler som placeras i lob\u00e4ra eller subsegmentella bronker blockerar luftfl\u00f6det till l\u00e4ckaget, vilket g\u00f6r att pneumothorax kan l\u00e4ka ut.<\/p>

Fiorelli A et al. visade att 88 % av luftl\u00e4ckagen upph\u00f6rde inom 5,0 +\/- 1,7 dagar.<\/p><\/div><\/div><\/div><\/div> <\/div>\n<\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n

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Klinisk evidens<\/h1>\n <\/div>\n<\/div>\n
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Framg\u00e5ngsrik behandling av persisterande luftl\u00e4ckage med Zephyr-ventiler har rapporterats i flera fallserier och fallrapporter.\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n

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I en retrospektiv multicenterstudie d\u00e4r Zephyr-ventiler utv\u00e4rderades f\u00f6r behandling av persisterande luftl\u00e4ckage orsakat av en alveol\u00e4r-pleurafistel uppn\u00e5ddes fullst\u00e4ndigt upph\u00f6rande av luftl\u00e4ckaget hos
\n88 % av patienterna, medan ytterligare 9 % uppvisade en minskning av luftl\u00e4ckagets omfattning.7<\/sup><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n\n

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Ventilerna avl\u00e4gsnades hos 82 % av patienterna efter i genomsnitt 134 \u00b1 83 dagar. Inga komplikationer eller \u00e5terkommande luftl\u00e4ckage rapporterades efter avl\u00e4gsnandet. 7<\/sup><\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n <\/div>\n
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Ta del av alla fallstudier och l\u00e4s om behandlingen av persisterande luftl\u00e4ckage med Zephyr-ventiler i v\u00e5r broschyr.<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div>\n<\/div>\n
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\n \n Ta del av evidensen <\/a>\n <\/div>\n <\/div>\n\n <\/div>\n
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\n \n \u00a0L\u00e4s hela studien <\/a>\n <\/div>\n <\/div>\n\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n
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Ingreppet \u2013 steg f\u00f6r steg<\/h1>\n <\/div>\n<\/div>\n
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Viktiga resultat<\/h1>\n

Effektiv behandling av persisterande luftl\u00e4ckage7<\/sup><\/h4>\n <\/div>\n<\/div>\n
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Referenser<\/strong>
\n1 DuganK et al. (2017) Management of Persistent Air Leaks CHEST 2017; 152(2):417-423
\n2 Sirbu, H, Busch, T, Aleksic, I, Schreiner, W, Oster, O, & Dalichau, H. Bronchopleural fistula in the surgery of non-small cell lung cancer: incidence, risk factors, and management. Ann Thorac Cardiovasc Surg, 2001; 7(6), 330\u2013336.
\n3 Liang, S, et al. Quantifying the incidence and impact of postoperative prolonged alveolar air leak after pulmonary resection. J Thorac Cardiovasc Surg, 2013; 145(4), 948\u2013954.
\n4 Bardell, T, & Petsikas, D. What keeps postpulmonary resection patients in hospital?. Can Respir J, 2003; 10(2), 86-89.
\n5 Varela, Gonzalo, et al. Estimating hospital costs attributable to prolonged air leak in pulmonary lobectomy. Eur J Cardiothorac Surg, 2005; 27(2), 329\u2013333.
\n6 Irshad, Kashif, et al. Causes of increased length of hospitalization on a general thoracic surgery service: a prospective obser-vational study. Can J Surg, 2002; 45(4), 264.
\n7 Fiorelli A, D\u2019Andrilli A, Cascone R, Occhiati L, Anile M, Diso D, Cassiano F, Poggi C,Ibrahim M, Cusumano G, Terminella A, Failla G, La Sala A, Bezzi M, Innocenti M, Torricelli E, Venuta F, Rendina EA, Vicidomini G, Santini M, Andreetti C. Unidi-rectional endobronchial valves for management of persistent air-leaks: results of a multicenter study. J Thorac Dis 2018;10(11):6158-6167. doi: 10.21037\/ jtd.2018.10.61
\n8 Pulmonx Corp. Zephyr\u00ae<\/sup> Endobronchial Valve System Clinical Evaluation Report. Document 631-0016, Revision J. Redwood City, CA: Pulmonx Corporation; 2025; Section 3.7 (Intended Users).
\n9 Mahajan AK, Doeing DC, Hogarth DK. Isolation of persistent air leaks and placement of intrabronchial valves. J Thorac Cardiovasc Surg. 2013;145:626-630
\n10 Ficial, B.; Whebell, S.; Taylor, D.; Fern\u00e1ndez-Garda, R.; Okiror, L.; Meadows, C.I.S. Bronchoscopic Endobronchial Valve Therapy for Persistent Air Leaks in COVID-19 Patients Requiring Veno-Venous Extracorporeal Membrane Oxygenation. J. Clin. Med. 2023, 12, 1348<\/p>\n

EMEA-SV-2925-v1<\/p>\n <\/div>\n<\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n","protected":false},"excerpt":{"rendered":"

Bronkoskopisk behandling av persisterande luftl\u00e4ckage Minimalt invasiv behandling Ett persisterande luftl\u00e4ckage (PAL) i lungan definieras som ett luftl\u00e4ckage som varar l\u00e4ngre \u00e4n 5\u20137 dagar, vilket leder till f\u00f6rl\u00e4ngd behandling med thoraxdr\u00e4nage och sjukhusvistelse och kan \u00f6ka sjukligheten.\u00b9-\u2076 Zephyr\u00ae-ventiler, som placeras minimalt invasivt via ett bronkoskop, behandlar persisterande luftl\u00e4ckage effektivt och kan f\u00f6rkorta sjukhusvistelsen j\u00e4mf\u00f6rt med […]<\/p>\n","protected":false},"author":1208,"featured_media":0,"parent":82291,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-102116","page","type-page","status-publish","hentry","has-post-title","has-post-date","has-post-category","has-post-tag","has-post-comment","has-post-author",""],"acf":[],"yoast_head":"\nPersisterande Luftlackage - Pulmonx<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pulmonx.com\/sv\/teknik\/persisterande-luftlackage\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Persisterande Luftlackage - 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