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      More Options for Treating Severe Hyperinflation in Advanced Emphysema

      American Journal of Respiratory and Critical Care Medicine
      American Thoracic Society

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          Endobronchial Valves for Emphysema without Interlobar Collateral Ventilation.

          Bronchoscopic lung-volume reduction with the use of one-way endobronchial valves is a potential treatment for patients with severe emphysema. To date, the benefits have been modest but have been hypothesized to be much larger in patients without interlobar collateral ventilation than in those with collateral ventilation.
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            Bronchoscopic lung volume reduction with endobronchial valves for patients with heterogeneous emphysema and intact interlobar fissures (the BeLieVeR-HIFi study): a randomised controlled trial.

            Lung volume reduction surgery improves survival in selected patients with emphysema, and has generated interest in bronchoscopic approaches that might achieve the same effect with less morbidity and mortality. Previous trials with endobronchial valves have yielded modest group benefits because when collateral ventilation is present it prevents lobar atelectasis.
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              Endobronchial Valve Therapy in Patients with Homogeneous Emphysema. Results from the IMPACT Study.

              Endobronchial valves (EBVs) have been successfully used in patients with severe heterogeneous emphysema to improve lung physiology. Limited available data suggest that EBVs are also effective in homogeneous emphysema.
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                Author and article information

                Journal
                American Journal of Respiratory and Critical Care Medicine
                Am J Respir Crit Care Med
                American Thoracic Society
                1073-449X
                1535-4970
                December 15 2017
                December 15 2017
                : 196
                : 12
                : 1496-1498
                Article
                10.1164/rccm.201709-1799ED
                7472cc13-8416-46ee-9364-e1f7cb062001
                © 2017
                History

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