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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

424
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
424

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Author Spotlight: Expanding Interventional Pulmonology Research with Robotic-Assisted Bronchoscopy
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Patient Selection for Bronchoscopic Lung Volume Reduction.

Jorrit B A Welling1,2, Jorine E Hartman1,2, Sonja W S Augustijn1

  • 1University of Groningen, University Medical Center Groningen, Department of Pulmonary Diseases, Groningen, the Netherlands.

International Journal of Chronic Obstructive Pulmonary Disease
|May 6, 2020
PubMed
Summary

Only 19% of severe COPD patients referred for bronchoscopic lung volume reduction (BLVR) are selected. Selection for BLVR treatment is linked to a significant survival benefit, highlighting the need for improved patient selection and new therapies.

Keywords:
bronchoscopic lung volume reductionendobronchial valveslung volume reduction coilspatient selection

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Area of Science:

  • Pulmonary Medicine
  • Interventional Pulmonology
  • Respiratory Disease Research

Background:

  • Bronchoscopic lung volume reduction (BLVR) offers a treatment option for select severe COPD patients.
  • Limited data exists on patient characteristics and outcomes referred for BLVR to specialized centers.

Purpose of the Study:

  • To determine the selection rate for BLVR in referred severe COPD patients.
  • To compare characteristics and outcomes of patients selected versus not selected for BLVR.

Main Methods:

  • Retrospective analysis of 1500 severe COPD patients referred for BLVR eligibility assessment.
  • Evaluation of demographics, comorbidities, CT scan findings, reasons for rejection, and survival data.

Main Results:

  • Only 19% (282/1500) of patients were selected for BLVR.
  • Key exclusion factors included unsuitable target lobes, disease phenotype, and insufficient lung hyperinflation.
  • Selected patients had significantly longer survival (median 3060 days) than non-selected patients (median 2079 days).

Conclusions:

  • A small fraction of referred severe COPD patients are eligible for BLVR, suggesting a need for better referral criteria and novel therapies.
  • Selection for BLVR is associated with a substantial survival advantage in severe COPD patients.