{"id":82149,"date":"2022-11-21T14:27:15","date_gmt":"2022-11-21T19:27:15","guid":{"rendered":"https:\/\/pulmonx.com\/55-year-old-woman-with-almost-2l-decrease-in-residual-volume-and-a-doubling-of-fev1-lung-function\/"},"modified":"2024-06-19T10:02:31","modified_gmt":"2024-06-19T15:02:31","slug":"55-year-old-woman-with-almost-2l-decrease-in-residual-volume-and-a-doubling-of-fev1-lung-function","status":"publish","type":"post","link":"https:\/\/pulmonx.com\/sv\/55-year-old-woman-with-almost-2l-decrease-in-residual-volume-and-a-doubling-of-fev1-lung-function\/","title":{"rendered":"55-year-old woman with almost 2L decrease in residual volume and a doubling of FEV<sub>1<\/sub> (lung function)"},"content":{"rendered":"<!--themify_builder_content-->\n<div id=\"themify_builder_content-82149\" data-postid=\"82149\" class=\"themify_builder_content themify_builder_content-82149 themify_builder tf_clear\">\n                    <div  data-lazy=\"1\" class=\"module_row themify_builder_row tb_vdwp902 tb_first tf_w\">\n                        <div class=\"row_inner col_align_top tb_col_count_1 tf_box tf_rel\">\n                        <div  data-lazy=\"1\" class=\"module_column tb-column col-full tb_2fkn904 first\">\n                    <!-- module text -->\n<div  class=\"module module-text tb_0fji146   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <h1 style=\"text-align: center;\">Clinical Spotlight:<\/h1>\n<h2 style=\"text-align: center;\" data-pm-slice=\"1 1 []\">55-year-old woman with almost 2L decrease in residual volume and a doubling of FEV<sub>1<\/sub> (lung function)<\/h2>\n    <\/div>\n<\/div>\n<!-- \/module text -->        <\/div>\n                        <\/div>\n        <\/div>\n                        <div  data-lazy=\"1\" class=\"module_row themify_builder_row tb_37md355 tf_w\">\n                        <div class=\"row_inner col_align_top tb_col_count_2 tf_box tf_rel\">\n                        <div  data-lazy=\"1\" class=\"module_column tb-column col4-2 tb_x0hl357 first\">\n                    <!-- module text -->\n<div  class=\"module module-text tb_qsw3448   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        \n<table id=\"tablepress-37\" class=\"tablepress tablepress-id-37 clinical-spotlight\">\n<thead>\n<tr class=\"row-1\">\n\t<th colspan=\"2\" class=\"column-1\">Patient Profile<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"row-2\">\n\t<td class=\"column-1\"><b>Quality of Life Goal<\/b><\/td><td class=\"column-2\">Wants to have less anxiety, be able<br \/>\nto do daily activities easier, and work in the garden<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\"><b>Condition<\/b><\/td><td class=\"column-2\"><ul><li>Advanced stage emphysema\/COPD<\/li><\/ul><\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\"><b>Smoking History<\/b><\/td><td class=\"column-2\"><ul><li>None<\/li><\/ul><\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\"><b>Management Medications<\/b><\/td><td class=\"column-2\"><ul><li>Nebulizers<\/li><br><li>DALIRESP<\/li><\/ul><\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\"><b>Oxygen Use<\/b><\/td><td class=\"column-2\"><ul><li>2\u20134 LPM NC<\/li><\/ul><\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\"><b>Baseline FEV<sub>1<\/sub><\/b><\/td><td class=\"column-2\"><ul><li>20% predicted<\/li><\/ul><\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\"><b>Symptoms<\/b><\/td><td class=\"column-2\"><ul><li>Shortness of breath (SOB)<\/li><br \/>\n<li>Mobility Issues<\/li><\/ul><\/td>\n<\/tr>\n<tr class=\"row-9\">\n\t<td class=\"column-1\"><b>Special Notes<\/b><\/td><td class=\"column-2\"><ul><li>One hospitalization in 2019 for COPD exacerbation<\/li><\/ul><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-37 from cache -->    <\/div>\n<\/div>\n<!-- \/module text -->        <\/div>\n                    <div  data-lazy=\"1\" class=\"module_column tb-column col4-2 tb_pjk8571 last\">\n                    <!-- module text -->\n<div  class=\"module module-text tb_hdrq938   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <h3 class=\"p1\">Procedure Details:<\/h3>\n<ul>\n<li class=\"p1\">\n<p class=\"p1\">Pulmonary rehab prior to treatment<\/p>\n<\/li>\n<li class=\"p1\">\n<p class=\"p1\">StratX<span class=\"s2\"><sup>\u00ae<\/sup> Report<\/span>showed 90% fissure on the left and 45% destruction at -910 HU in the target lobe (Left Lower Lobe), with lobar inspiratory volume of 1429 mL<\/p>\n<\/li>\n<li class=\"p1\">\n<p class=\"p1\">Collateral ventilation negative Chartis<span class=\"s2\"><sup>\u00ae<\/sup><\/span> System <\/p>\n<\/li>\n<li class=\"p1\">\n<p class=\"p1\">Four Zephyr Valves placed in left lower lobe (LLL)<\/p>\n<\/li>\n<li class=\"p1\">\n<p class=\"p1\">Patient tolerated the procedure well, no pneumothorax<\/p>\n<\/li>\n<li class=\"p1\">\n<p class=\"p1\">Five-night hospitalization prior to discharge<\/p>\n<\/li>\n<\/ul>    <\/div>\n<\/div>\n<!-- \/module text --><!-- module text -->\n<div  class=\"module module-text tb_qb7j231   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <h3 class=\"p1\">Pre and Post-Imaging:<\/h3>    <\/div>\n<\/div>\n<!-- \/module text -->        <div  data-lazy=\"1\" class=\"module_subrow themify_builder_sub_row tf_w col_align_top tb_col_count_2 tb_hkdf569\">\n                <div  data-lazy=\"1\" class=\"module_column sub_column tb_yjff570 first\">\n                    <!-- module image -->\n<div  class=\"module module-image tb_p1mq946 image-top   tf_mw\" data-lazy=\"1\">\n        <div class=\"image-wrap tf_rel tf_mw\">\n            <img decoding=\"async\" src=\"https:\/\/pulmonx.com\/wp-content\/uploads\/2022\/03\/Sharma-Pre-Zephyr-Valve.jpg\" title=\"Pre-procedure\" alt=\"\">    \n        <\/div>\n    <!-- \/image-wrap -->\n    \n        <div class=\"image-content\">\n                    <h3 class=\"image-title\">\n                                    Pre-procedure                            <\/h3>\n                    <\/div>\n    <!-- \/image-content -->\n        <\/div>\n<!-- \/module image -->        <\/div>\n                    <div  data-lazy=\"1\" class=\"module_column sub_column tb_7qtz570 last\">\n                    <!-- module image -->\n<div  class=\"module module-image tb_h24896 image-top   tf_mw\" data-lazy=\"1\">\n        <div class=\"image-wrap tf_rel tf_mw\">\n            <img decoding=\"async\" width=\"500\" height=\"520\" src=\"https:\/\/pulmonx.com\/wp-content\/uploads\/2022\/03\/Sharma-Post-Treatment-COPD.jpg\" class=\"wp-post-image wp-image-81941\" title=\"Post-procedure\" alt=\"\" srcset=\"https:\/\/pulmonx.com\/wp-content\/uploads\/2022\/03\/Sharma-Post-Treatment-COPD.jpg 500w, https:\/\/pulmonx.com\/wp-content\/uploads\/2022\/03\/Sharma-Post-Treatment-COPD-288x300.jpg 288w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/>    \n        <\/div>\n    <!-- \/image-wrap -->\n    \n        <div class=\"image-content\">\n                    <h3 class=\"image-title\">\n                                    Post-procedure                            <\/h3>\n                    <\/div>\n    <!-- \/image-content -->\n        <\/div>\n<!-- \/module image -->        <\/div>\n                    <\/div>\n                <\/div>\n                        <\/div>\n        <\/div>\n                        <div  data-lazy=\"1\" class=\"module_row themify_builder_row tb_3dtq145 tf_w\">\n                        <div class=\"row_inner col_align_top tb_col_count_1 tf_box tf_rel\">\n                        <div  data-lazy=\"1\" class=\"module_column tb-column col-full tb_l684145 first\">\n                            <div  data-lazy=\"1\" class=\"module_subrow themify_builder_sub_row tf_w col_align_top tb_col_count_2 tb_soh6952\">\n                <div  data-lazy=\"1\" class=\"module_column sub_column tb_7tnl953 first\">\n                    <!-- module text -->\n<div  class=\"module module-text tb_fcy6230   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <h3 class=\"p1\">Pre and Post Lung Function Chart:<\/h3>\n<p class=\"p1\">\n<table id=\"tablepress-38\" class=\"tablepress tablepress-id-38 lung-function\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">ASSESSMENT<\/th><th class=\"column-2\">PRE-PROCEDURE<\/th><th class=\"column-3\">POST-PROCEDURE<br \/>\n(3 MONTHS)<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"row-2\">\n\t<td class=\"column-1\">FEV<sub>1<\/sub><\/td><td class=\"column-2\">580 mL<\/td><td class=\"column-3\">900 mL<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">FEV<sub>1<\/sub> (% pred)<\/td><td class=\"column-2\">20%<\/td><td class=\"column-3\">31%<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\">RV<\/td><td class=\"column-2\">5430 mL<\/td><td class=\"column-3\">3680 mL<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\">RV (% pred)<\/td><td class=\"column-2\">257%<\/td><td class=\"column-3\">173%<\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\">TLC<\/td><td class=\"column-2\">7910 mL<\/td><td class=\"column-3\">6790 mL<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\">TLC (% pred)<\/td><td class=\"column-2\">138%<\/td><td class=\"column-3\">118%<\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\">6MWD<\/td><td class=\"column-2\">320 m<\/td><td class=\"column-3\">355 m<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-38 from cache --><\/p>    <\/div>\n<\/div>\n<!-- \/module text --><!-- module text -->\n<div  class=\"module module-text tb_k12q724   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <h4 class=\"p1\">Case was Completed by:<\/h4>\n<p class=\"p1\">Dr. Deepankar Sharma at Columbus Regional Health, IN<span class=\"Apple-converted-space\"> <\/span><\/p>    <\/div>\n<\/div>\n<!-- \/module text --><!-- module text -->\n<div  class=\"module module-text tb_laww907   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <h4 class=\"p1\">Patient was Referred by:<\/h4>\n<p class=\"p1\">Dr. Salim S. Abou-Jaoude, Pulmonologist in Lafayette, IN <\/p>    <\/div>\n<\/div>\n<!-- \/module text -->        <\/div>\n                    <div  data-lazy=\"1\" class=\"module_column sub_column tb_iopj954 last\">\n                    <!-- module image -->\n<div  class=\"module module-image tb_opxo868 image-top   tf_mw\" data-lazy=\"1\">\n        <div class=\"image-wrap tf_rel tf_mw\">\n            <img decoding=\"async\" width=\"1144\" height=\"466\" src=\"https:\/\/pulmonx.com\/wp-content\/uploads\/2022\/05\/Clinical-spotlight-55-female.jpg\" class=\"wp-post-image wp-image-81989\" title=\"Clinical-spotlight-55-female\" alt=\"\" srcset=\"https:\/\/pulmonx.com\/wp-content\/uploads\/2022\/05\/Clinical-spotlight-55-female.jpg 1144w, https:\/\/pulmonx.com\/wp-content\/uploads\/2022\/05\/Clinical-spotlight-55-female-300x122.jpg 300w, https:\/\/pulmonx.com\/wp-content\/uploads\/2022\/05\/Clinical-spotlight-55-female-1024x417.jpg 1024w, https:\/\/pulmonx.com\/wp-content\/uploads\/2022\/05\/Clinical-spotlight-55-female-768x313.jpg 768w\" sizes=\"(max-width: 1144px) 100vw, 1144px\" \/>    \n        <\/div>\n    <!-- \/image-wrap -->\n    \n        <\/div>\n<!-- \/module image --><!-- module text -->\n<div  class=\"module module-text tb_koxb147   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <h3>Patient Outcome:<\/h3>\n<ul>\n<li class=\"p1\">\n<p class=\"p2\">Decreased oxygen usage: Changed from continuous oxygen use to as needed<\/p>\n<\/li>\n<li class=\"p1\">\n<p class=\"p2\">Disease symptoms are more controlled<span class=\"Apple-converted-space\"> <\/span><\/p>\n<\/li>\n<li class=\"p1\">\n<p class=\"p2\">No hospitalizations since treatment<span class=\"Apple-converted-space\"> <\/span><\/p>\n<\/li>\n<li class=\"p1\">\n<p class=\"p2\">Achieved quality of life improvement goals<\/p>\n<\/li>\n<li>Less anxiety and able to do daily activities easier<\/li>\n<\/ul>    <\/div>\n<\/div>\n<!-- \/module text -->        <\/div>\n                    <\/div>\n                <div  data-lazy=\"1\" class=\"module_subrow themify_builder_sub_row tf_w col_align_top tb_col_count_1 tb_tzv7148\">\n                <div  data-lazy=\"1\" class=\"module_column sub_column col-full tb_20s0148 first\">\n                    <!-- module divider -->\n<div  class=\"module tf_mw module-divider tb_ehq6148 solid   \" style=\"border-width: 1px;border-color: #3095b4;margin-top: 30px;margin-bottom: 30px;\" data-lazy=\"1\">\n    <\/div>\n<!-- \/module divider -->\n        <\/div>\n                    <\/div>\n                <\/div>\n                        <\/div>\n        <\/div>\n                        <div  data-lazy=\"1\" class=\"module_row themify_builder_row tb_fdl8227 tf_w\">\n                        <div class=\"row_inner col_align_top tb_col_count_1 tf_box tf_rel\">\n                        <div  data-lazy=\"1\" class=\"module_column tb-column col-full tb_frht228 first\">\n                    <!-- module text -->\n<div  class=\"module module-text tb_yktb575   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <h4 class=\"p1\">How the Zephyr Valve Works:<\/h4>\n<p class=\"p2\">The Zephyr Valve is a one-way valve designed to reduce hyperinflation of the lungs caused by severe emphysema\/COPD. In a minimally invasive bronchoscopic procedure, an average of four tiny valves are placed in the airways to block off the diseased parts of the lungs where air gets trapped, causing hyperinflation and severe shortness of breath. The Zephyr Valve reduces lung hyperinflation by allowing trapped air to escape and preventing new air from entering that diseased lobe. This allows the healthier parts of the lung to function better and results in patients being able to breathe more easily and experience less shortness of breath.<a href=\"https:\/\/pulmonx.com\/references\/\">\u00b9<\/a><span class=\"Apple-converted-space\"> <\/span><\/p>\n<p class=\"p1\">The Zephyr Endobronchial Valve is removable, and thus preserves future therapy options.<span class=\"Apple-converted-space\"> <\/span><\/p>    <\/div>\n<\/div>\n<!-- \/module text -->        <div  data-lazy=\"1\" class=\"module_subrow themify_builder_sub_row tf_w col_align_top tb_col_count_1 tb_knxf230\">\n                <div  data-lazy=\"1\" class=\"module_column sub_column col-full tb_w1ow230 first\">\n                            <\/div>\n                    <\/div>\n                <\/div>\n                        <\/div>\n        <\/div>\n                        <div  data-lazy=\"1\" class=\"module_row themify_builder_row tb_ab6w326 tf_w\">\n                        <div class=\"row_inner col_align_top tb_col_count_1 tf_box tf_rel\">\n                        <div  data-lazy=\"1\" class=\"module_column tb-column col-full tb_vq08328 first\">\n                            <div  data-lazy=\"1\" class=\"module_subrow themify_builder_sub_row tf_w col_align_top tb_col_count_1 tb_snf0329\">\n                <div  data-lazy=\"1\" class=\"module_column sub_column col-full tb_zs93329 first\">\n                    <!-- module text -->\n<div  class=\"module module-text tb_2aop331   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <h3 class=\"p1\" style=\"text-align: center;\">If you have a patient to refer, find a treatment center in your area.<\/h3>    <\/div>\n<\/div>\n<!-- \/module text --><!-- module buttons -->\n<div  class=\"module module-buttons tb_sce5279 buttons-horizontal solid  large squared\" data-lazy=\"1\">\n        <div class=\"module-buttons-item tf_in_flx\">\n                        <a href=\"\/zephyr-centers\/\" class=\"ui builder_button tf_in_flx tb_default_color\" target=\"_blank\" rel=\"noopener\">\n                                                Find a Center                                        <\/a>\n                <\/div>\n            <\/div>\n<!-- \/module buttons -->\n<!-- module divider -->\n<div  class=\"module tf_mw module-divider tb_yp43330 solid   \" style=\"border-width: 1px;border-color: #3095b4;margin-top: 30px;margin-bottom: 30px;\" data-lazy=\"1\">\n    <\/div>\n<!-- \/module divider -->\n        <\/div>\n                    <\/div>\n                <div  data-lazy=\"1\" class=\"module_subrow themify_builder_sub_row tf_w col_align_top tb_col_count_1 tb_s81j330\">\n                <div  data-lazy=\"1\" class=\"module_column sub_column col-full tb_pwrw331 first\">\n                    <!-- module text -->\n<div  class=\"module module-text tb_s945308   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <h4 class=\"p1\">Zephyr Valve Patient Benefits and Risks:<\/h4>\n<p>Patients treated report significant improvements in lung function, exercise tolerance, and quality of life.<a style=\"background-color: initial; font-size: 16.6667px;\" href=\"https:\/\/pulmonx.com\/references\"><sup>1<\/sup><\/a><\/p>\n<p>Complications of the Zephyr Endobronchial Valve treatment can include but are not limited to pneumothorax, worsening of COPD symptoms, hemoptysis, pneumonia, dyspnea and, in rare cases, death.<\/p>    <\/div>\n<\/div>\n<!-- \/module text -->        <\/div>\n                    <\/div>\n        <!-- module text -->\n<div  class=\"module module-text tb_p8wv331   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <p>Results from clinical spotlights are not necessarily predictive of results in other cases. Results in other cases may vary.<\/p>\n<h6 class=\"p1\">GLO-EN-748-v2 <span class=\"Apple-converted-space\"> <\/span><\/h6>    <\/div>\n<\/div>\n<!-- \/module text -->        <\/div>\n                        <\/div>\n        <\/div>\n        <\/div>\n<!--\/themify_builder_content-->","protected":false},"excerpt":{"rendered":"<p><b>Patient Treated:<\/b><br \/>\n55-year-old woman with almost 2L decrease in residual volume and a doubling of FEV<sub>1<\/sub> (lung function)<\/p>\n<p><b>Treatment Goals:<\/b><br \/>\nWants to have less anxiety, be able to do daily activities easier, and work in the garden<\/p>\n","protected":false},"author":2,"featured_media":81996,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[146],"tags":[],"class_list":["post-82149","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical-spotlight-sv","has-post-title","has-post-date","has-post-category","has-post-tag","has-post-comment","has-post-author",""],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - 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