What Is Endobronchial Lung Volume Reduction?

The best candidates for successful surgery tend to be those who: Have severe lung damage (emphysema), particularly in the upper part of the lung. Are younger than 75 to 80 years old. Have not smoked for at least six months.

What is BLVR procedure?

Bronchoscopic lung volume reduction (BLVR) is a nonsurgical procedure to treat advanced emphysema by placing tiny valves in the airways. The procedure takes about an hour and requires no cutting or incisions.

What is endoscopic lung volume reduction?

ELVR or endoscopic lung volume reduction is a form of non-surgical lung volume reduction to treat people with severe emphysema.

How safe is lung reduction surgery?

While effective for some patients, there are risks involved with lung reduction surgery, including: Air leakage (occurring when air leaks from the lung tissue, coming from the suture line into the chest cavity) Pneumonia or infection. Stroke.

How long do you live after lung reduction surgery?

In well-selected patients with heterogeneous emphysema, LVRS has a durable long-term outcome at up to 5-years of follow-up. Five-year survival rates in patients range between 63% and 78%.

Who qualifies for Zephyr valves?

Have an active lung infection. Have an allergy to Nitinol, nickel, titanium or silicone. Have not stopped smoking. An air pocket (bullae) that is greater than 1/3 of the size of the lung.

Can Zephyr valves be removed?

Zephyr Valves are removable. If you should require an adjustment procedure, one or more valves that have been previously placed are removed and replaced. During this procedure, your doctor may also place more valves as necessary to treat your lungs.

Which situation will happen when you have emphysema?

When emphysema develops, the alveoli and lung tissue are destroyed. With this damage, the alveoli cannot support the bronchial tubes. The tubes collapse and cause an “obstruction” (a blockage), which traps air inside the lungs. Too much air trapped in the lungs can give some patients a barrel-chested appearance.

How invasive is lung reduction surgery?

Overview. Bronchoscopic lung volume reduction is a minimally invasive procedure for patients with severe emphysema. This means BLVR involves no incisions or stitches.

What happens during lung volume reduction surgery?

During lung volume reduction surgery, a chest (thoracic) surgeon removes small wedges of damaged lung tissue, usually about 20 to 30 percent of each lung, to allow the remaining tissue to function better. As a result, the diaphragm contracts and relaxes more effectively and efficiently, so you can breathe more easily.

What causes reduced lung capacity?

What Happens? There are several natural body changes that happen as you get older that may cause a decline in lung capacity. Muscles like the diaphragm can get weaker. Lung tissue that helps keep your airways open can lose elasticity, which means your airways can get a little smaller.

How does an endobronchial valve work?

An endobronchial valve permits one-way air movement. During inhalation the valve is closed, preventing air flow to the diseased area of the lung. The valve opens during exhalation to allow air and mucus to escape from the diseased area of the lung.

What is Zephyr valve surgery?

Your doctor offers a new procedure to help you with severe emphysema. It is called the Zephyr® Valve treatment. The Zephyr Valve treatment is a procedure that allows a doctor to place one or more small valves in your airways, which release trapped pockets of air to improve your ability to breathe.

How is low lung volume treated?

What Treatment Options Are Available for Restrictive Lung Disease…

  1. Inhalers.
  2. Immunosuppressants.
  3. Expectorants.
  4. Oxygen therapy.
  5. Pulmonary rehabilitation.
  6. Lung transplant.
  7. Other treatments.
  8. Restrictive vs. obstructive lung diseases.

What is the success rate of the Zephyr valve?

After one year of treatment, almost three times more patients treated with the Zephyr valves achieved the target improvement in lung function — a 15 percent or greater increase in forced expiratory volume in one second (FEV1) — compared to patients receiving medical management alone (the control group).

What is the Zephyr treatment for COPD?

The Zephyr Valve is an implantable device used to occlude all airways feeding the hyperinflated lobe of a lung that is most diseased with emphysema. These one-way valves comprised of nitinol and silicone allow trapped air to escape during exhalation, but close to prevent air from re-entering during inhalation.

How successful is the Zephyr valve?

Patients treated with Zephyr valves have reported immediate relief, with less shortness of breath and improved overall breathing, and a better ability to perform daily life tasks within weeks of treatment.

Does insurance cover the Zephyr valve?

The insurer’s new coverage policy is specific to the device marketed by Pulmonx. With this Priority Health decision, some 30 million U.S. residents with commercial insurance will have Zephyr as a treatment option, if needed. Other major insurers who cover the Zephyr Valve include Humana and Aetna.

How long does the Zephyr valve last?

The study shows that the Zephyr Valves provide significant benefits to patients including improvements over baseline in lung function and quality of life out to at least 24 months, and improvements in exercise capacity out to at least 18 months.

Does the Zephyr valve work?

Results indicated that one year after treatment, almost half (47.7%) of the patients treated with Zephyr valves experienced a 15% (or more) improvement in lung function scores, compared to only 16.8% of patients in the control group.

What are the chances of dying from lung surgery?

Results: During the study period an increasing number of women and of patients older than 70 years underwent surgery. Overall 30-day mortality was 2.9, 0.6% after single lobectomy and 5.7% after pneumonectomy. Major complications occurred in 54 patients (8.8%).

How much does lung volume reduction cost?

In both groups, the majority of patients reported improvement in oxygen dependence as well as quality of life. Neither surgical approach conferred any long-term medical advantage; however, the average total hospital costs and charges were reduced in the VATS group (average cost: VATS, $27,178; sternotomy, $37,299).

What does lung volume loss mean?

Low lung volume

If your lung volume is lower than normal, this may be a sign of a restrictive lung condition such as pulmonary fibrosis or sarcoidosis.