PMID- 36517067 OWN - NLM STAT- MEDLINE DCOM- 20221216 LR - 20231216 IS - 1658-3175 (Electronic) IS - 0379-5284 (Print) IS - 0379-5284 (Linking) VI - 43 IP - 12 DP - 2022 Dec TI - Endobronchial valve therapy for patients with advanced emphysema. A report from a tertiary care center in China. PG - 1397-1401 LID - 10.15537/smj.2022.43.12.20220527 [doi] AB - OBJECTIVES: To assess the efficiency and safety of endobronchial valve (EBV) treatment in Chinese patients. METHODS: A retrospective analysis was performed in patients with chronic obstructive pulmonary disease who underwent EBV implantation in our hospital between October 2010 and January 2017. All patients were confirmed with no collateral ventilation (CV-) or with low airflow (LF) in the treated lobe. Pulmonary function parameters, the 6-minute walk distance (6MWD), the modified Medical Research Council (mMRC), as well as adverse events in the follow-up period were recorded. RESULTS: Thirty-eight advanced emphysema patients received EBV implantation. Significant improvements were found in forced expiratory volume in 1 second (FEV(1))(FEV(1): +0.12 L), 6MWD (+64.9 m), and mMRC (-0.5 points). A total of 55.3% and 65.8% of subjects met the score for the minimal clinically important difference in FEV(1) and 6MWD, respectively. FEV(1) improved more significantly in the CV- group than in the LF group. Pneumothorax or death did not occur during the follow-up period. CONCLUSION: Endobronchial valve treatment in patients with advanced emphysema and CV- provides clinically meaningful benefits with a low incidence of pneumothorax. The efficiency and safety of EBV therapy are acceptable in China. CI - Copyright: (c) Saudi Medical Journal. FAU - Yu, Hang AU - Yu H AD - From the Senior Department of Respiratory and Critical Care Medicine, the Eighth Medical Center, Chinese PLA General Hospital, Beijing, China. FAU - Yang, Zhen AU - Yang Z AD - From the Senior Department of Respiratory and Critical Care Medicine, the Eighth Medical Center, Chinese PLA General Hospital, Beijing, China. FAU - Zhu, Minghui AU - Zhu M AD - From the Senior Department of Respiratory and Critical Care Medicine, the Eighth Medical Center, Chinese PLA General Hospital, Beijing, China. FAU - Liang, Zhixin AU - Liang Z AD - From the Senior Department of Respiratory and Critical Care Medicine, the Eighth Medical Center, Chinese PLA General Hospital, Beijing, China. FAU - Zhao, Wei AU - Zhao W AD - From the Senior Department of Respiratory and Critical Care Medicine, the Eighth Medical Center, Chinese PLA General Hospital, Beijing, China. FAU - Zhu, Qiang AU - Zhu Q AD - From the Senior Department of Respiratory and Critical Care Medicine, the Eighth Medical Center, Chinese PLA General Hospital, Beijing, China. FAU - Chen, Liang-An AU - Chen LA AD - From the Senior Department of Respiratory and Critical Care Medicine, the Eighth Medical Center, Chinese PLA General Hospital, Beijing, China. LA - eng PT - Journal Article PL - Saudi Arabia TA - Saudi Med J JT - Saudi medical journal JID - 7909441 SB - IM MH - Humans MH - *Pneumothorax MH - Tertiary Care Centers MH - Retrospective Studies MH - Bronchoscopy MH - *Pulmonary Emphysema/surgery/complications MH - *Emphysema/complications MH - Forced Expiratory Volume MH - Treatment Outcome PMC - PMC9994510 OTO - NOTNLM OT - bronchoscopic lung volume reduction OT - emphysema OT - endobronchial valve EDAT- 2022/12/15 06:00 MHDA- 2022/12/17 06:00 PMCR- 2022/12/01 CRDT- 2022/12/14 20:43 PHST- 2022/07/17 00:00 [received] PHST- 2022/10/20 00:00 [accepted] PHST- 2022/12/14 20:43 [entrez] PHST- 2022/12/15 06:00 [pubmed] PHST- 2022/12/17 06:00 [medline] PHST- 2022/12/01 00:00 [pmc-release] AID - 43/12/1397 [pii] AID - SaudiMedJ-43-12-1397 [pii] AID - 10.15537/smj.2022.43.12.20220527 [doi] PST - ppublish SO - Saudi Med J. 2022 Dec;43(12):1397-1401. doi: 10.15537/smj.2022.43.12.20220527.