J43
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Serious pulmonary emphysema: FEV1 150%, TLC> 100%, maximum drug therapy according to GOLD blood gases: PO2> 45 mmHg at room air at rest; PCO2 30 years -Stable COPD: No exacerbation in the last 8 weeks; Cortisone dose 4 months; Current CoHb <2.5% -Patient informed consent: Signed patient information for an endoscopic LVR; Willingness to participate in the control investigations according to the protocol
Exclusion criteria
Exclusion criteria: -Nutritional status: BMI 4 tablespoons /day -physical resilience: Walking distance <140 m - Difficult cardiac disease: Z. n. Myocardial infarction in the last 6 weeks; Decompensated heart failure; Cardio-myopathy with medium to highly limited LVF; Long term medication with Clopidogrel -Pre-operations: Z.n. Lung resection (LVRS / lobectomy / pneumonectomy) -Pregnancy: Existing pregnancy; Female subject of childbearing age without adequate contraception
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Safety: Evaluation of the number of complications caused by the treatment (so-called adverse or severe adverse events) | — |
Secondary
| Measure | Time frame |
|---|---|
| Effectiveness: • Average changes in lung function (FEV1, IVC, RV, TLC, RV / TLC) at the time 30 days, 90 days, 180 days and 365 days after ELVR. • Average changes in quality of life (SGRQ) and dyspnoea (mMRC) at the time of 30 days, 90 days, 180 days and 365 days after ELVR. • Average changes in the walking distance of the 6 minute walking test at the time 30 days, 90 days, 180 days and 365 days after ELVR. • Average change in the volume of treated lung lobes in CT after 6 months | — |
Countries
Germany
Contacts
Thoraxklinik Universitätsklinikum Heidelberg