Bronchial Thermoplasty in the Treatment of Asthma A Literature Review

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Abstract
Introduction and purpose Asthma is a chronic inflammatory disorder affecting people worldwide. Although standard pharmacological management is adequate for most asthma patients, bronchial thermoplasty may serve as a therapeutic alternative in individuals with severe, uncontrolled asthma. The aim of this review is to summarize the knowledge of the effects of bronchial thermoplasty on symptom control, quality of life, and airway remodeling, as well as the use and effectiveness of this procedure in treating asthma. Description of the state of knowledge Bronchial thermoplasty (BT) is an endoscopic treatment method that can be used in patients with severe asthma, whose condition has not been adequately controlled with recommended pharmacological treatment. This procedure involves the application of radiofrequency energy to modify the airways’ structure and decrease airway smooth muscle mass. It is regarded as a safe and effective treatment option for long-term asthma management. Conclusion After bronchial thermoplasty, improved symptom control and a reduction in the frequency of exacerbations were observed, resulting from a decrease in airway smooth muscle mass and an expansion of airway volume. However, this therapeutic strategy is recommended for individuals for whom other treatments have proven ineffective.

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