Evidence map›Paper›PMID 30038492›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2018

Long-term safety of bilateral targeted lung denervation in patients with COPD.

Arschang Valipour, Sherwin Asadi, Christophe Pison, Marie Jondot, Romain Kessler, Khaled Benneddif, Gaetan Deslee, Margaux Verdier, Dirk-Jan Slebos, Martin Mayse

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Trial
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  5. Article
  6. Interventional pulmonology for chronic inflammatory airway diseases.Chinese medical journal pulmonary and critical care medicine · 2024
    Review
  7. Review
  8. Review
  9. Article
  10. Bronchoscopic Targeted Lung Denervation in Patients with Severe Asthma: Preliminary Findings.Respiration; international review of thoracic diseases · 2022
    Article
  11. New bronchoscopic treatment modalities for patients with chronic bronchitis.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  12. Bronchoscopic management of asthma, COPD and emphysema.European respiratory review : an official journal of the European Respiratory Society · 2021
    Article
  13. Airway Sensory Nerve Density Is Increased in Chronic Cough.American journal of respiratory and critical care medicine · 2021
    Article
  14. Review
  15. Article
  16. Article
  17. Physiologic and histopathologic effects of targeted lung denervation in an animal model.Journal of applied physiology (Bethesda, Md. : 1985) · 2019
    Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 4 countries.

Arschang ValipourDepartment of Respiratory and Critical Care Medicine, Ludwig-Boltzmann-Institute for COPD and Respiratory Epidemiology, Otto-Wagner-Spital, Vienna, Austria, arschang.valipour@wienkav.at.
Sherwin AsadiDepartment of Respiratory and Critical Care Medicine, Ludwig-Boltzmann-Institute for COPD and Respiratory Epidemiology, Otto-Wagner-Spital, Vienna, Austria, arschang.valipour@wienkav.at.
Christophe PisonCHU Grenoble Alpes, Clinique Universitaire de Pneumologie, Université Grenoble Alpes, Grenoble, France.
Marie JondotCHU Grenoble Alpes, Clinique Universitaire de Pneumologie, Université Grenoble Alpes, Grenoble, France.
Romain KesslerService de Pneumologie, Nouvel Hôpital Civil, Université de Strasbourg, Strasbourg, France.
Khaled BenneddifService de Pneumologie, Nouvel Hôpital Civil, Université de Strasbourg, Strasbourg, France.
Gaetan DesleeCHU de Reims, Hôpital Maison Blanche, Service de Pneumologie, INSERM UMRS903, Reims, France.
Margaux VerdierCHU de Reims, Hôpital Maison Blanche, Service de Pneumologie, INSERM UMRS903, Reims, France.
Dirk-Jan SlebosDepartment of Pulmonary Diseases, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Martin MayseNuvaira, Inc., Minneapolis, MN, USA.
Centre Hospitalier Universitaire de Grenoble · FRHôpitaux Universitaires de Strasbourg · FRInserm · FRLudwig Boltzmann Institute for Lung Health · ATNuvaira (United States) · USUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Targeted lung denervation (TLD) is a novel bronchoscopic therapy for COPD which ablates parasympathetic pulmonary nerves running along the outside of the two main bronchi with the intent of inducing permanent bronchodilation. The goal of this study was to evaluate the feasibility and long-term safety of bilateral TLD during a single procedure. Patients and methods: This prospective, multicenter study evaluated 15 patients with moderate-to-severe COPD (forced expiratory volume in 1 s [FEV Results: A total of 15 patients (47% male, age 63.2±4.0 years) underwent TLD with a total procedure time of 89±16 min, and the total fluoroscopy time was 2.5±2.7 min. Primary safety end point of freedom from worsening of COPD was 100%. There were no procedural complications reported. Results of lung function analysis and exercise capacity demonstrated similar beneficial effects of TLD without bronchodilators, when compared with long-acting anticholinergic therapy at 30 days, 180 days, 365 days, 2 years, and 3 years post-TLD. Five of the 12 serious adverse events that were reported through 3 years of follow-up were respiratory related with no events being related to TLD therapy. Conclusion: TLD delivered to both lungs in a single procedure is feasible and safe with few respiratory-related adverse events through 3 years.

Indexed as

Bronchodilator AgentsExercise ToleranceFeasibility StudiesFemaleForced Expiratory VolumeHumansLungMaleMiddle AgedParasympathectomyProspective StudiesPulmonary Disease, Chronic ObstructiveQuality of LifeTime FactorsTreatment OutcomeBronchodilator AgentsbronchoscopyCOPDdenervationdeviceradiofrequency ablation

Identifiers

PMID30038492
PMCPMC6052931
OpenAlexW2883425234

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.