Bronchoscopic management of asthma, COPD and emphysema

Eur Respir Rev. 2021 Jan 13;30(159):200029. doi: 10.1183/16000617.0029-2020. Print 2021 Mar 31.

Abstract

In recent years, many bronchoscopic techniques have been developed in chronic obstructive airway inflammatory diseases, including asthma, COPD and emphysema. The main techniques with available data from randomised controlled trials are: 1) bronchial thermoplasty in asthma; 2) valves, coils and thermal vapor ablation in emphysema; and 3) targeted lung denervation in COPD. The objectives of this article are to describe the levels of evidence for efficacy and safety, long-term follow-up results beyond 1 year, and current recommendations for clinical practice from international guidelines for each technique.

MeSH terms

  • Asthma*
  • Bronchoscopy
  • Emphysema*
  • Humans
  • Pulmonary Disease, Chronic Obstructive* / diagnosis
  • Pulmonary Disease, Chronic Obstructive* / therapy
  • Pulmonary Emphysema* / diagnosis
  • Pulmonary Emphysema* / surgery