Clin Respir Med | Volume 1, Issue 1 | Case Report | Open Access

Delayed Response to Endobronchial Emphysema Valve Insertion

Peter Creber, Oliver Bendall and Nabil Jarad*

Department of Respiratory Medicine, Bristol Royal Infirmary, UK

*Correspondance to: Nabil Jarad 

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Lobar atelectasis or lobar collapse is markers of clinical response in patients with emphysema who undergo endo-bronchial valve insertion. Most responders demonstrate atelectatic changes in the treated lobe within two weeks of insertion. We describe a patient in whom a complete response occurred over 18 months after endo-bronchial valve insertion during which time the patient was referred for lung transplantation. The radiological changes were associated with clinical and lung function improvement. Consequently, the decision for lung transplantation was deferred. This phenomenon has not, to our knowledge been described in the literature to date.


Emphysema; Endobronchial valve; Volume reduction; COPD


Creber P, Bendall O, Jarad N. Delayed Response to Endobronchial Emphysema Valve Insertion. Clin Respirat Med. 2018; 1(1): 1003.

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