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内镜下肺减容术:EMPROVE和LIBERATE试验综述。

Endoscopic Lung Volume Reduction: Review of the EMPROVE and LIBERATE trials.

作者信息

Nada Khaled M, Nishi Shawn

机构信息

Department of Internal Medicine, Division of Pulmonary Critical Care & Sleep Medicine, The University of Texas Medical Branch, Galveston, TX.

出版信息

Mayo Clin Proc Innov Qual Outcomes. 2020 Dec 11;5(1):177-186. doi: 10.1016/j.mayocpiqo.2020.09.009. eCollection 2021 Feb.

DOI:10.1016/j.mayocpiqo.2020.09.009
PMID:33718791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7930786/
Abstract

Endoscopic lung volume reduction is now included in the guidelines for treatment in severe chronic obstructive pulmonary disease. Since December 2018, 2 valve systems have been approved by the US Food and Drug Administration (FDA). To date, there is no head-to-head trial comparing both valve systems and no clear benefit of one over the other. This article provides an overview of the two largest prospective trials performed with the FDA-approved valve systems.

摘要

内镜下肺减容术现已被纳入重度慢性阻塞性肺疾病的治疗指南。自2018年12月以来,已有两种瓣膜系统获得美国食品药品监督管理局(FDA)批准。迄今为止,尚无比较这两种瓣膜系统的头对头试验,也没有明确表明哪种系统更具优势。本文概述了使用FDA批准的瓣膜系统进行的两项最大规模的前瞻性试验。

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2
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Respir Care. 2023 Jul;68(7):889-913. doi: 10.4187/respcare.10757.

本文引用的文献

1
Improving Lung Function in Severe Heterogenous Emphysema with the Spiration Valve System (EMPROVE). A Multicenter, Open-Label Randomized Controlled Clinical Trial.Spiration 阀系统改善严重异质性肺气肿患者的肺功能(EMPROVE):一项多中心、开放标签随机对照临床试验。
Am J Respir Crit Care Med. 2019 Dec 1;200(11):1354-1362. doi: 10.1164/rccm.201902-0383OC.
2
Opportunities and Challenges in Expanding Pulmonary Rehabilitation into the Home and Community.将肺康复扩展至家庭和社区中的机遇与挑战
Am J Respir Crit Care Med. 2019 Oct 1;200(7):822-827. doi: 10.1164/rccm.201903-0548PP.
3
Endoscopic Lung Volume Reduction: An Expert Panel Recommendation - Update 2019.支气管镜肺减容术:专家小组建议-2019 年更新
Respiration. 2019;97(6):548-557. doi: 10.1159/000496122. Epub 2019 Mar 5.
4
The REACH Trial: A Randomized Controlled Trial Assessing the Safety and Effectiveness of the Spiration® Valve System in the Treatment of Severe Emphysema.REACH 试验:一项评估 Spiration® Valve 系统治疗严重肺气肿的安全性和有效性的随机对照试验。
Respiration. 2019;97(5):416-427. doi: 10.1159/000494327. Epub 2018 Dec 14.
5
CELEB trial: Comparative Effectiveness of Lung volume reduction surgery for Emphysema and Bronchoscopic lung volume reduction with valve placement: a protocol for a randomised controlled trial.CELEB 试验:肺气肿肺减容术与支气管镜肺减容术联合瓣膜置入术的比较效果:一项随机对照试验方案。
BMJ Open. 2018 Oct 17;8(10):e021368. doi: 10.1136/bmjopen-2017-021368.
6
A Multicenter Randomized Controlled Trial of Zephyr Endobronchial Valve Treatment in Heterogeneous Emphysema (LIBERATE).Zephyr 支气管内阀治疗异质性肺气肿的多中心随机对照试验(LIBERATE)。
Am J Respir Crit Care Med. 2018 Nov 1;198(9):1151-1164. doi: 10.1164/rccm.201803-0590OC.
7
A Multicenter Randomized Controlled Trial of Zephyr Endobronchial Valve Treatment in Heterogeneous Emphysema (TRANSFORM).Zephyr 支气管内活瓣治疗不均质肺气肿的多中心随机对照试验(TRANSFORM)。
Am J Respir Crit Care Med. 2017 Dec 15;196(12):1535-1543. doi: 10.1164/rccm.201707-1327OC.
8
Predicting Lung Volume Reduction after Endobronchial Valve Therapy Is Maximized Using a Combination of Diagnostic Tools.使用多种诊断工具相结合可最大限度地预测支气管内瓣膜治疗后的肺容积减少情况。
Respiration. 2016;92(3):150-7. doi: 10.1159/000448849. Epub 2016 Aug 31.
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JAMA. 2016;315(20):2178-89. doi: 10.1001/jama.2016.6261.
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Burden of chronic obstructive pulmonary disease: healthcare costs and beyond.慢性阻塞性肺疾病的负担:医疗费用及其他方面。
Allergy Asthma Proc. 2015 Jan-Feb;36(1):4-10. doi: 10.2500/aap.2015.36.3812.