Candidates for a bronchoscopic lung volume reduction (endobronchial valve) are typically patients suffering from severe emphysema who have not found relief through traditional treatments such as medication or pulmonary rehabilitation. Ideal candidates are those who:

• Experience significant breathlessness that affects daily activities.
• Have hyperinflation of the lungs, which means their lungs are overinflated with trapped air.
• Have reduced lung function but are otherwise in good health.
• Do not have other significant health issues that could complicate the procedure.
• Have participated in a thorough evaluation process, including lung imaging and respiratory tests, to ensure that the endobronchial valve is a suitable option.

The procedure for inserting endobronchial valves is minimally invasive and does not require surgery. Here is a step-by-step overview:

• Initial Assessment: Patients undergo a series of tests, including CT scans and pulmonary function tests, to determine the extent of lung damage and identify suitable areas for valve placement.
• Bronchoscopy: The procedure is performed using a bronchoscope, a flexible tube with a camera, which is inserted through the mouth or nose and into the airways.
• Valve placement, often called bronchoscopic lung volume reduction: Using the bronchoscope, the doctor places one or more endobronchial valves in the target airways. The valves are designed to prevent air from entering the damaged parts of the lungs while allowing trapped air to escape.
• Monitoring: The procedure typically takes about an hour, and patients are closely monitored during recovery to ensure the valves are functioning correctly and there are no complications.

Endobronchial valves are placed during a procedure that does not require any cutting or incisions. A typical valve procedure looks like this:

• Step 1 – The doctor will give you medicine to help you fall asleep.
• Step 2 – A small tube with a camera, called a bronchoscope, will be inserted into your lungs through your nose or mouth.
• Step 3 – The number of valves placed will depend on the individual anatomy of the patient’s airways and physician discretion.
• Step 4 – Most patience stay in the hospital for a minimum of three nights to monitor progress and watch for any possible complications.
• Step 5 – After the procedure, you will continue to use the medicines that your doctor has prescribed for your condition. Tests will be performed at certain intervals after the procedure to assess effectiveness of the valves.

While endobronchial valve placement is not a cure for severe COPD or emphysema, it offers significant relief for many patients, enhancing their quality of life and providing greater independence in their daily activities.

• Breathing Improvement: Most patients experience a noticeable improvement in their ability to breathe, reducing the sensation of breathlessness.
• Increased Activity Levels: Better lung function allows many patients to engage in physical activities that were previously challenging or impossible.
• Short Recovery Time: Most patients return to normal activities within a few days to a week.
• Enhanced Quality of Life: The valve provides significant relief, enhancing patients' quality of life and providing greater independence in daily activities.