Emphysema
Conditions
Brief summary
Hyperinflation Assessment After Treatment by Lung Volume Reduction Coil (HEAT-LVRC) on Hyperinflation in Severe Emphysema
Detailed description
Two sequences (around 30 minutes) are necessary by patient. Under general anesthesia, two lobs treatment ( 10 Coil by lob) successively introduced by a bronchoscope.
Interventions
Two sequences of 30 minutes are necessary by patient
Bronchoscopy with Heat-LVRC
Sponsors
Study design
Eligibility
Inclusion criteria
* Severe emphysema (recent CT-scan (\< 6 mois) ) * Age \> 35 ans * Modified Medical Research Council Scale (mMRC) \> 2 * Forced expiratory volume in one second (FEV1) post-bronchodilatator \< 45% * Residual volume \> 175% * Total Pulmonary capacity \> 100%
Exclusion criteria
* Forced expiratory volume in one second (FEV1) variability \> 20% after bronchodilatator * Carbon Monoxide Diffusing Capacity (TLCO) \< 20% * Recurrent respiratory infection Infections with clinics symptoms * Pulmonary arterial hypertension (PAH) with Pulmonary Arterial Systolic Pressure (PAPS) estimated with echography \> 50 mm Hg * Impossibility to walk more that 140 meter (6 min test) * Surgery history of volume reduction or pulmonary transplantation * Broncho-dilatation with clinic symptoms
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hyperinflation Assessment After Treatment | 3 months | Assessed by Lung Volume Reduction Coil |
Countries
France