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Updated: Jun 17, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
[Bronchoscopic treatment of emphysema]
1Service de Pneumologie, Oncologie thoracique et soins intensifs respiratoires, Hôpital Pasteur, Centre Hospitalier Universitaire de Nice, France.
Lung volume reduction aims to improve breathing in advanced emphysema. Researchers are identifying predictors of response to new, less invasive lung volume reduction devices.
Area of Science:
- Pulmonology
- Respiratory Medicine
- Medical Devices
Context:
- Advanced emphysema in chronic obstructive pulmonary disease (COPD) significantly impairs respiratory mechanics and symptoms.
- Lung volume reduction surgery (LVRS) offers benefits but has high morbidity and cost.
- Minimally invasive alternatives to LVRS aim to reduce lung volume or redistribute airflow.
Purpose:
- To identify predictors of patient response to novel lung volume reduction devices.
- To optimize patient selection for less invasive emphysema treatments.
Summary:
- Emphysema worsens COPD symptoms through gas exchange loss and altered respiratory mechanics (hyperinflation).
- Novel devices, including endobronchial valves, plugs, and airway bypass systems, offer alternatives to LVRS.
- These devices aim to reduce diseased lung volume or improve ventilation distribution, showing preliminary safety and modest exercise capacity benefits.
Impact:
- This research seeks to personalize emphysema treatment by predicting which patients will benefit most from lung volume reduction therapies.
- Identifying response predictors can guide clinical decision-making and improve outcomes for COPD patients with emphysema.
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