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Related Experiment Video

Updated: Jan 28, 2026

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Published on: March 12, 2020

Endoscopic Lung Volume Reduction: An Expert Panel Recommendation - Update 2019.

Felix J F Herth^1,2, Dirk-Jan Slebos³, Gerard J Criner⁴

¹Department of Pneumology and Critical Care Medicine, Thoraxklinik, Heidelberg, Germany, felix.herth@med.uni-heidelberg.de.

Respiration; International Review of Thoracic Diseases

|March 6, 2019

Summary

Endoscopic lung volume reduction (ELVR) offers improved outcomes for severe emphysema patients with air trapping. Updated guidelines emphasize comprehensive baseline assessments for optimal patient selection in this evolving therapy.

Keywords:

Bronchoscopy Chronic obstructive pulmonary disease Emphysema Expert statement Hyperinflation Lung volume reduction

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Published on: March 6, 2019

Area of Science:

Pulmonology
Interventional Bronchoscopy
Respiratory Medicine

Background:

Endoscopic lung volume reduction (ELVR) is increasingly recognized for COPD management.
Guideline recommendations (COPD GOLD, NICE) and FDA approval support its clinical use.
Transitioning ELVR from experimental to standard care presents new challenges.

Purpose of the Study:

To update best practice recommendations for patient selection in ELVR.
To provide guidance on utilizing various ELVR techniques for advanced emphysema.
To incorporate recent evidence and clinical advancements into expert statements.

Main Methods:

Review of published evidence-based data on ELVR outcomes.
Analysis of patient characteristics, particularly severe air trapping and hyperinflation.
Inclusion of recommended baseline assessments: cardiopulmonary exercise testing, HRCT, perfusion scintigraphy, echocardiography.

Main Results:

Consistent improvements in patient outcomes are demonstrated across published data.
Patients with severe air trapping and thoracic hyperinflation show the most significant benefit.
Comprehensive baseline assessments are crucial for identifying ideal candidates.

Conclusions:

ELVR is a valuable treatment option for selected patients with advanced emphysema.
Updated recommendations enhance patient selection criteria and technique utilization.
Evidence supports the efficacy of ELVR in improving patient outcomes.