Endoskopische Therapie der COPD
摘要
Endoscopic lung volume reduction represents a minimally invasive treatment option for patients with advanced emphysema who remain symptomatic despite receiving the maximum conservative treatment. Endoscopic valve treatment, the effectiveness of which has been demonstrated in numerous randomized controlled trials in emphysema patients without interlobar collateral ventilation, is now well-established in clinical practice. For patients with interlobar collateral ventilation, various treatment approaches are available; however, due to limited data from clinical trials, these should be performed following an individual benefit-risk assessment within clinical trials. Overall, successful implementation of each of these treatment methods requires precise patient selection and interdisciplinary decisions through a dedicated emphysema board.