Severe emphysematous chronic obstructive pulmonary disease
Conditions
Interventions
None listed
Sponsors
St. Marianna University School of Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients who underwent bronchoscopic lung volume reduction using a bronchial valve system, completed a one-year post-marketing surveillance study, and provided consent to participate in this study.
Exclusion criteria
Exclusion criteria: Patients who could not consent to the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of patients with a 15% or greater improvement rate in forced expiratory volume in one second after inhalation of bronchodilators 2 to 5 years after EBV treatment Improvement rate = (forced expiratory volume in one second after inhalation of bronchodilators before treatment - forced expiratory volume in one second after inhalation of bronchodilators after treatment) / (forced expiratory volume in one second after inhalation of bronchodilators before treatment) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Efficacy outcomes Degree of improvement in the following indicators 2 to 5 years after EBV placement compared to before treatment SGRQ, 6-minute walk, BODE index, blood gas (room air), MMRC, echocardiographic findings, pulmonary function tests after bronchodilator inhalation (forced vital capacity, forced expiratory volume in one second, residual volume, inspiratory reserve, total lung capacity, functional residual capacity, pulmonary diffusion capacity), degree of volume reduction in the target lung lobe compared to before treatment by CT, and proportion of patients observed to have a volume reduction of 350 ml or more 2. Safety outcomes Data on adverse events will be collected for the post-treatment period of 2 to 5 years after treatment. (1)Major adverse events: death, pneumothorax, respiratory failure, pneumonia, COPD exacerbation, one-way valve prolapse, severe bronchial deformation (2)Number of transbronchial interventions (observation, EBV removal, EBV re-insertion, etc.) | — |
Countries
Japan
Contacts
Public ContactMasamichi Mineshita
St. Marianna University School of Medicine Department of Respiratory Medicine
Outcome results
None listed