Endobronchial Valve (EBV)

Endobronchial valve (EBV) placement may be considered by a team evaluation when chronic obstructive pulmonary disease (COPD) is predominantly emphysema, with significant pulmonary hyperinflation, and symptoms persist despite optimized treatment with inhaled medications, smoking cessation, and pulmonary rehabilitation. The decision will integrate factors such as emphysema distribution and heterogeneity, collateral ventilation status, lung function and gas exchange, cardiopulmonary comorbidities, and infection control, provided there are suitable target lobes and anatomical conditions.