Efficacy and Safety of Broncho Muco Cleaner Balloon Dilation Therapy

Korábbi kezelés

• Concurrent asthma
• Patients who do not regularly take 15lgu15in therapy for COPD
• Pneumothorax or pulmonary surgery in the last 6 months
• Those who have undergone a previous lung device procedure, including implanted emphysema stents, lung coil delivery, valves, lung denervation, or other devices for emphysema.
• Those with a known sensitivity to the drug (such as lidocaine, 15lgu15ine and benzodiazepines) needed to perform bronchoscopy.

Más betegség

• Clinically significant arrhythmia, Left heart failure (EF<45) or pulmonary hypertension (PABs>45 mmHg)
• Those who use anticoagulants or clopidogrel or equivalent drugs and cannot be stopped before and during the procedure, or the presence of bleeding diathesis
• Presence of active malignancy
• Active pulmonary infection
• Patients with other clinically significant lung disease other than COPD

Laborértékek

• Chronic kidney disease with GFR <30 ml/min

Életkor

• be under the age of 40 and over the age of 75

Egyéb

• pregnant patients
• breastfeeding a child
• Being an active smoker
• Liver cirrhosis
• 6 minutes walking test <100 meters
• FEV1<15%
• Those with positive early reversibility in pulmonary function tests
• Emphysema-predominant COPD patients
• Partial CO2 pressure > 55mmHg or pO2<55 mmHg in room air
• Those taking > 10 mg of prednisolone per day

• Adults of both sexes aged 40-75 years
• Being diagnosed with stage II-IV chronic bronchitis-predominant COPD according to the GOLD guideline
• To have quit smoking for at least 6 months
• mMRC 2 and above
• Receiving optimal medical treatment for COPD
• Being stable for at least 3 weeks
• To have completed 6 weeks of pulmonary rehabilitation before the first procedure
• Having sufficient mental and physical capacity to sign the voluntary consent form for the procedure.