{"id":91276,"date":"2021-02-16T15:57:41","date_gmt":"2021-02-16T20:57:41","guid":{"rendered":"https:\/\/pulmonx.com\/73-year-old-male\/"},"modified":"2021-02-16T15:57:41","modified_gmt":"2021-02-16T20:57:41","slug":"73-year-old-male","status":"publish","type":"post","link":"https:\/\/pulmonx.com\/uk-en\/73-year-old-male\/","title":{"rendered":"73-year-old male with severe dyspnea treated with Zephyr Valves"},"content":{"rendered":"<!--themify_builder_content-->\n<div id=\"themify_builder_content-91276\" data-postid=\"91276\" class=\"themify_builder_content themify_builder_content-91276 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;\">73-year-old male with severe dyspnea treated with Zephyr Valves<\/h2>    <\/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-31\" class=\"tablepress tablepress-id-31 clinical-spotlight tbody-has-connected-cells\">\n<thead>\n<tr class=\"row-1\">\n\t<th colspan=\"3\" 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 colspan=\"2\" class=\"column-2\">Being able to walk without difficulty, work in woodworking shop, do yardwork, help brother put up fence posts<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\"><b>Condition<\/b><\/td><td colspan=\"2\" class=\"column-2\"><ul><li>COPD, chronic AFib, HTN, iron deficiency<\/li><\/ul><\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\"><b>Smoking History<\/b><\/td><td colspan=\"2\" 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>Albuterol<\/li><br \/>\n<li>Breo<\/li><br \/>\n<li>Incruse<\/li><br \/>\n<li>Lipitor<\/li><br \/>\n<li>Zithromax<\/li><br \/>\n<li>Bumex<\/li><br \/>\n<\/ul><\/td><td class=\"column-3\"><ul><li>Klonopin<\/li><br \/>\n<li>Jantoven<\/li><br \/>\n<li>Metoprolol<\/li><br \/>\n<li>Pantoprazole<\/li><br \/>\n<li>Prednisone<\/li><br \/>\n<li>Cialis<\/ul><\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\"><b>Oxygen Use<\/b><\/td><td colspan=\"2\" class=\"column-2\"><ul><li>3\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 colspan=\"2\" class=\"column-2\"><ul><li>23% predicted (730 mL)<\/li><\/ul><\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\"><b>Symptoms<\/b><\/td><td colspan=\"2\" class=\"column-2\"><ul><li>Multiple episodes of bronchitis<\/li><br \/>\n<li>Collapsed lung<\/li><br \/>\n<li>Perception of extreme difficulty breathing in and out<\/li><\/ul><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-31 from cache -->    <\/div>\n<\/div>\n<!-- \/module text -->        <\/div>\n                    <div  data-lazy=\"1\" class=\"module_column tb-column col4-2 tb_7b6a136 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\">Had pulmonary rehab prior to treatment<\/li>\n<li class=\"p1\">StratX<sup>\u00ae<\/sup>\u00a0shows 100% fissure on the left and 61% emphysema destruction in the target lobe (left lower lobe-LLL); LLL inspiratory volume of 1982 mL<\/li>\n<li class=\"p1\">Collateral ventilation negative<\/li>\n<li class=\"p1\">Four Zephyr<sup>\u00ae<\/sup> Valves placed in LLL<\/li>\n<li class=\"p1\"><span style=\"background-color: initial;\">Three-night hospitalization, no pneumothorax or exacerbation<\/span><\/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_vsh6538\">\n                <div  data-lazy=\"1\" class=\"module_column sub_column tb_80av539 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\/2021\/02\/Mahajan-73-year-old-male-COPD-Lung-Scan-271x185.jpg\" width=\"271\" height=\"185\" class=\"wp-post-image wp-image-78234\" 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_axpx539 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\" src=\"https:\/\/pulmonx.com\/wp-content\/uploads\/2021\/02\/Mahajan-73-year-old-male-Lung-Scan-271x183.jpg\" width=\"271\" height=\"183\" title=\"Post-procedure\" alt=\"\">    \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_1 tb_tzv7148\">\n                <div  data-lazy=\"1\" class=\"module_column sub_column col-full tb_20s0148 first\">\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_2 tf_box tf_rel\">\n                        <div  data-lazy=\"1\" class=\"module_column tb-column col4-2 tb_frht228 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-32\" class=\"tablepress tablepress-id-32 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\">730 mL<\/td><td class=\"column-3\">850 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\">23%<\/td><td class=\"column-3\">27%<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\">RV<\/td><td class=\"column-2\">4510 mL<\/td><td class=\"column-3\">3470 mL<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\">RV (% pred)<\/td><td class=\"column-2\">175%<\/td><td class=\"column-3\">130%<\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\">TLC (% pred)<\/td><td class=\"column-2\">110%<\/td><td class=\"column-3\">86%<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\">6MWD<\/td><td class=\"column-2\">221 m<\/td><td class=\"column-3\">262 m<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-32 from cache --><\/p>    <\/div>\n<\/div>\n<!-- \/module text --><!-- module text -->\n<div  class=\"module module-text tb_4xbl110   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <h4 class=\"p1\">Case was Completed by:<\/h4>\n<p class=\"p2\">Dr. Amit \u201cBobby\u201d Mahajan at Inova Fairfax Hospital, Fairfax, VA<\/p>    <\/div>\n<\/div>\n<!-- \/module text -->        <\/div>\n                    <div  data-lazy=\"1\" class=\"module_column tb-column col4-2 tb_dndq661 last\">\n                            <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_c5ls738 first\">\n                    <!-- module text -->\n<div  class=\"module module-text tb_vzat738   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <h3>Patient Outcome:<\/h3>\n<ul>\n<li class=\"p1\">\n<p class=\"p2\"><span class=\"Apple-converted-space\">Not as short of breath\u00a0<\/span><\/p>\n<\/li>\n<li class=\"p1\">\n<p class=\"p2\"><span class=\"Apple-converted-space\">Restarted pulmonary rehab and expected to see further improvements in breathing<\/span><\/p>\n<\/li>\n<li class=\"p1\">\n<p class=\"p2\"><span class=\"s2\"><span class=\"Apple-converted-space\">Oxygen use has been reduced to 2 LPM NC\u00a0<\/span><\/span><\/p>\n<\/li>\n<li class=\"p1\">\n<p class=\"p2\">Able to get up and walk around without feeling extreme shortness of breath<\/p>\n<\/li>\n<\/ul>    <\/div>\n<\/div>\n<!-- \/module text --><!-- module image -->\n<div  class=\"module module-image tb_gxze176 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\/04\/Zephyr-Valve-treatment-results-73.jpg\" class=\"wp-post-image wp-image-79262\" title=\"Zephyr-Valve-treatment-results-73\" alt=\"\" srcset=\"https:\/\/pulmonx.com\/wp-content\/uploads\/2022\/04\/Zephyr-Valve-treatment-results-73.jpg 1144w, https:\/\/pulmonx.com\/wp-content\/uploads\/2022\/04\/Zephyr-Valve-treatment-results-73-300x122.jpg 300w, https:\/\/pulmonx.com\/wp-content\/uploads\/2022\/04\/Zephyr-Valve-treatment-results-73-1024x417.jpg 1024w, https:\/\/pulmonx.com\/wp-content\/uploads\/2022\/04\/Zephyr-Valve-treatment-results-73-768x313.jpg 768w\" sizes=\"(max-width: 1144px) 100vw, 1144px\" \/>    \n        <\/div>\n    <!-- \/image-wrap -->\n    \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_hmx4154 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_ssv9684 first\">\n                            <div  data-lazy=\"1\" class=\"module_subrow themify_builder_sub_row tf_w col_align_top tb_col_count_1 tb_k1ke154\">\n                <div  data-lazy=\"1\" class=\"module_column sub_column col-full tb_gyw4155 first\">\n                    <!-- module divider -->\n<div  class=\"module tf_mw module-divider tb_n6fx328 solid   \" style=\"border-width: 1px;border-color: #3095b4;\" 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_ozmu175 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_4i7i176 first\">\n                    <!-- module text -->\n<div  class=\"module module-text tb_dsmn176   \" 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\/\"><span style=\"font-size: 16.6667px;\"><sup>1<\/sup><\/span><\/a><\/p>\n<p>The Zephyr Endobronchial Valve is removable, and thus preserves future therapy options.<\/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_r7io176\">\n                <div  data-lazy=\"1\" class=\"module_column sub_column col-full tb_9yo5176 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        <\/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_mus9365\">\n                <div  data-lazy=\"1\" class=\"module_column sub_column col-full tb_tx84366 first\">\n                    <!-- module divider -->\n<div  class=\"module tf_mw module-divider tb_5m3v366 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_bchl422\">\n                <div  data-lazy=\"1\" class=\"module_column sub_column col-full tb_mdqg422 first\">\n                    <!-- module text -->\n<div  class=\"module module-text tb_4t6p422   \" 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-735-v4<\/h6>    <\/div>\n<\/div>\n<!-- \/module text -->        <\/div>\n                        <\/div>\n        <\/div>\n                        <div  data-lazy=\"1\" class=\"module_row themify_builder_row tb_qrv1914 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_8ku4914 first\">\n                    <!-- module text -->\n<div  class=\"module module-text tb_lxxt427   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <p>Important Safety Information: The Pulmonx Zephyr Endobronchial Valves are implantable bronchial valves indicated for the bronchoscopic treatment of adult patients with hyperinflation associated with severe emphysema in regions of the lung that have little to no collateral ventilation. The Zephyr Valve is contraindicated for: Patients for whom bronchoscopic procedures are contraindicated; those with evidence of active pulmonary infection; known allergies to Nitinol (nickel-titanium) or its constituent metals (nickel or titanium); known allergies to silicone, or with large bullae encompassing greater than 30% of either lung; Patients who have not quit smoking. The Zephyr Valve should be used with caution and only after careful consideration in treating patients with: Prior lung transplant, LVRS, median sternotomy, or lobectomy; Congestive heart failure or recent myocardial infarction; FEV<sub>1<\/sub> &lt;15% of predicted value. Use is restricted to a trained physician. Prior to use, please reference the Zephyr Endobronchial Valve System Instructions for more information on indications, contraindications, warnings, all precautions, and adverse events. Caution: Federal law restricts this device to sale by or on the order of a physician.<\/p>\n    <\/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 \/>\n73-year-old Male with Severe COPD\/Emphysema<\/p>\n<p><b>Treatment Goals:<\/b><br \/>\nBeing able to walk without difficulty, work in woodworking shop, do yardwork, help brother put up fence posts<\/p>\n","protected":false},"author":2,"featured_media":91278,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[193],"tags":[],"class_list":["post-91276","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical-spotlight-uk-en","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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