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Endobronchial valves for severe emphysema.

Journal article
Authors Jorine E Hartman
Lowie E G W Vanfleteren
Eva M van Rikxoort
Karin Klooster
Dirk-Jan Slebos
Published in European respiratory review : an official journal of the European Respiratory Society
Volume 28
Issue 152
ISSN 1600-0617
Publication year 2019
Published at Institute of Medicine, Department of Internal Medicine and Clinical Nutrition
Language en
Links dx.doi.org/10.1183/16000617.0121-20...
www.ncbi.nlm.nih.gov/entrez/query.f...
Subject categories Respiratory Medicine and Allergy

Abstract

The results of the randomised controlled trials investigating the bronchoscopic lung volume reduction treatment using endobronchial valves (EBV) are promising, and have led to their inclusion in treatment guidelines, US Food and Drug Administration approval and inclusion in routine care in an increasing number of countries. The one-way valve treatment has advanced and is now a regular treatment option. However, this new phase will lead to new challenges in terms of implementation. We believe that key issues in future research concern advanced patient selection, improved methods for target lobe selection, increased knowledge on the predictive risk of a pneumothorax, positioning of pulmonary rehabilitation in conjunction with the EBV treatment, the positioning of lung volume reduction surgery versus EBV treatment, and the long-term efficacy, adverse events, impact on exacerbations and hospitalisations, costs and survival. Hopefully, the increasing number of patients treated, the setup of (inter)national registries and future research efforts will further optimise all aspects of this treatment.

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