Emphysema Respiratory Emphysema
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adults (aged 18 or over) with COPD 2. FEV1 100% predicted, RV>170% predicted) 4. Ex-smoker >3 months 5. MRC dyspnoea score 3 or more 6. CT scan assessed at MDT to have intact interlobar fissures (>90%) and heterogeneous emphysema 7. Provision of informed consent to participate
Exclusion criteria
Exclusion criteria: 1. Smoking within 3 months 2. CT scan shows interlobar fissures are not intact 3. Major comorbidity limiting survival 4. Significant pulmonary fibrosis 5. FEV1 and TLco 7kPa 8. Presence of interlobar collateral ventilation assessed by Chartis system
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in iBODE score (a composite of BMI, FEV1, MRC dyspnoea score and shuttle walk test distance) one year post procedure. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Health related quality of life is measured using the COPD assessment test score (CAT) 2. Physical activity level 3. Change in residual volume (RV) 4. Fat free mass | — |
Countries
England, Scotland, United Kingdom