Bronchoscopic Lung Volume Reduction (BLVR - One-Way Valves, etc.)

Bronchoscopic Lung Volume Reduction (BLVR) may be considered when severe emphysema is accompanied by significant hyperinflation and decreased exercise tolerance, and symptoms remain prominent after medication and pulmonary rehabilitation. The decision focuses on high-resolution CT distribution, lung function and hyperinflation indicators, the presence of collateral ventilation, infection control, and cardiovascular comorbidities. Whether it is suitable is determined by a comprehensive specialist assessment.