Treatment With Bronchoscopic Lung Volume Reduction
BLVR is best for patients who are taking the maximum medical therapy and doing pulmonary rehabilitation, which is specialized physical therapy for lung conditions. Our specialists thoroughly evaluate patients with severe emphysema to ensure that BLVR is right for them.
Our evaluation typically includes:
- Computed tomography (CT) scan: Specialized X-ray technology that takes cross-sectional images to produce detailed 3D images of the lungs to locate diseased areas
- Pulmonary function tests: Noninvasive tests to measure airflow in and out of the lungs, how well the lungs move oxygen into the bloodstream, and lung size
The U.S. Food and Drug Administration has approved two valves for implantation with the BLVR procedure to treat emphysema. UT Southwestern offers both valves:
- Spiration® valve system by Olympus
- Zephyr® endobronchial valve by Pulmonx
About the Procedure
Our interventional pulmonologists perform BLVR with a bronchoscopy, a minimally invasive procedure. At UT Southwestern, a bronchoscopy for BLVR typically includes the following steps:
- Before the procedure, patients receive either medicines to help them relax or general anesthesia to put them to sleep. They also receive numbing medications in the nostril or mouth and throat to prevent irritation from the scope.
- The pulmonologist gently inserts the bronchoscope through either a nostril, the mouth, or endotracheal anesthesia tube. This narrow, flexible scope is a tube that has a camera at the tip to allow the doctor to see inside the airways and lungs.
- The doctor uses the bronchoscope to study lung ventilation and place tiny valves into the airways leading to the hyperexpanded sections of the lungs.
- At the end of the procedure, the pulmonologist removes the scope.
Once implanted, the one-way valves reduce lung volume by preventing airflow into the diseased areas and allowing trapped air and secretions to escape. With BLVR, the valves direct air to healthier sections of the lung, allowing those sections to function more normally.
After the procedure, patients typically stay in the hospital for two to three days before being discharged. By comparison, traditional lung volume reduction surgery generally has longer recovery time.
Clinical Trials
In addition to scientific work and a large body of literature over the past two decades, two landmark clinical studies led to FDA approval of the valves and the BLVR procedure to implant them.
- The LIBERATE study evaluated the Zephyr® endobronchial valve made by Pulmonx
- The EMPROVE study evaluated the Spiration® valve system. UT Southwestern pulmonologists were involved in the EMPROVE study, led by Muhanned Abu-Hijleh, M.D.
UT Southwestern’s pulmonologists participate in ongoing research and clinical studies of new technologies to improve treatment for a wide variety of lung conditions, including additional types of BLVR. Ask about current trials we are involved in for BLVR.