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Endobronchial valves for severe emphysema
- Source :
- European Respiratory Review, Vol 28, Iss 152 (2019)
- Publication Year :
- 2019
- Publisher :
- European Respiratory Society, 2019.
-
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.
- Subjects :
- Diseases of the respiratory system
RC705-779
Subjects
Details
- Language :
- English
- ISSN :
- 09059180 and 16000617
- Volume :
- 28
- Issue :
- 152
- Database :
- Directory of Open Access Journals
- Journal :
- European Respiratory Review
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.486d08a67da44782b99e023e624b81d1
- Document Type :
- article
- Full Text :
- https://doi.org/10.1183/16000617.0121-2018