{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T23:54:50Z","timestamp":1793922890157,"version":"4.8.0"},"reference-count":113,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T00:00:00Z","timestamp":1757894400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T00:00:00Z","timestamp":1757894400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respiration"],"abstract":"<jats:p>Endobronchial valve implantation to accomplish bronchoscopic lung volume reduction (BLVR) has been shown to improve pulmonary function, functional status, and dyspnea in patients with advanced emphysema complicated by hyperinflation without interlobar collateral ventilation. Patient selection and periprocedural management are largely derived from clinical trial inclusion criteria and limited to expert opinion. No consensus recommendations are available to guide practical aspects of BLVR. An international group of experts were invited to participate and were surveyed broadly regarding their BLVR-related practices, from which specific topics were selected by the group, followed by literature review on these topics. Recommendations regarding selected topics were formulated over three voting rounds using a modified Delphi technique requiring at least 80% consensus agreement. A total of 21 recommendations reached consensus and are detailed herein. One recommendation failed to reach consensus, and two other topics were found to have insufficient evidence to make specific recommendations. These consensus recommendations offer guidance on practical aspects of patient selection and periprocedural management topics related to BLVR with endobronchial valves and highlight gaps in current knowledge requiring further research.<\/jats:p>","DOI":"10.1159\/000548437","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T16:01:05Z","timestamp":1757952065000},"page":"397-420","source":"Crossref","is-referenced-by-count":6,"title":["Bronchoscopic Lung Volume Reduction with Endobronchial Valves: A Consensus Statement on Practical Aspects of Patient Selection and Periprocedural Management"],"prefix":"10.1159","volume":"105","author":[{"given":"Momen M.","family":"Wahidi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8186-0832","authenticated-orcid":false,"given":"Robert J.","family":"Lentz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerard J.","family":"Criner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Gompelmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvin J.","family":"Ing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1269-2326","authenticated-orcid":false,"given":"Christopher M.","family":"Kapp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9622-5623","authenticated-orcid":false,"given":"Shiyue","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank C.","family":"Sciurba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9052-4638","authenticated-orcid":false,"given":"Pallav L.","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9555-3422","authenticated-orcid":false,"given":"Dirk-Jan","family":"Slebos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlie","family":"Strange","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7638-2506","authenticated-orcid":false,"given":"Felix J.","family":"Herth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2025,9,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(21)00511-7"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.46598"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00153712"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-019-40411-1"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1186\/s40749-015-0017-7"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(16)30221-1"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.2174\/157339808786263815"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.4046\/trd.2020.0064"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.36416\/1806-3756\/e20230369"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa030287"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1254076"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/LBR.0000000000000445"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201902-0383OC"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201803-0590OC"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1159\/000491677"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.0003-2022"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.21037\/tlcr.2019.11.03"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2023.05.001"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.07.36"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S240848"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1080\/17476348.2024.2431522"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2020.12.007"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1507807"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-93-3-391"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0900928"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2014-205127"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1159\/000494327"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1159\/000524996"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1159\/000525729"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1111\/resp.14799"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.14958"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.11.040"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2024.06.013"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202201-0214OC"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0121377"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2011.11.020"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.1183\/23120541.00268-2024"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S359873"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.01200-2024"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00879-2022"},{"key":"ref43","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201607-1383OC"},{"key":"ref44","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201707-1327OC"},{"key":"ref45","doi-asserted-by":"publisher","DOI":"10.1159\/000368369"},{"key":"ref46","doi-asserted-by":"publisher","DOI":"10.1007\/s00408-020-00351-4"},{"key":"ref47","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.159.2.9802056"},{"key":"ref48","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200608-1114OC"},{"key":"ref49","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.09.023"},{"key":"ref50","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200001000-00017"},{"key":"ref51","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezy092"},{"key":"ref52","doi-asserted-by":"publisher","DOI":"10.1097\/LBR.0000000000000997"},{"key":"ref53","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa021322"},{"key":"ref54","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.0049-2019"},{"key":"ref55","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.0258-2024"},{"key":"ref56","doi-asserted-by":"publisher","DOI":"10.1159\/000507591"},{"key":"ref57","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2007.09.016"},{"key":"ref58","doi-asserted-by":"publisher","DOI":"10.2147\/copd.s2639"},{"key":"ref59","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2013.09.020"},{"key":"ref60","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201108-1428CI"},{"key":"ref61","doi-asserted-by":"publisher","DOI":"10.1053\/j.semtcvs.2007.05.004"},{"key":"ref62","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1556064"},{"key":"ref63","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-019-0849-z"},{"key":"ref64","doi-asserted-by":"publisher","DOI":"10.3978\/j.issn.2072-1439.2014.11.07"},{"key":"ref65","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2024.107639"},{"key":"ref66","doi-asserted-by":"publisher","DOI":"10.1159\/000477258"},{"key":"ref67","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S117890"},{"key":"ref68","doi-asserted-by":"publisher","DOI":"10.1159\/000528182"},{"key":"ref69","doi-asserted-by":"publisher","DOI":"10.1159\/000365662"},{"key":"ref70","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2024.107565"},{"key":"ref71","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2021.109561"},{"key":"ref72","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.199.3.8638012"},{"key":"ref73","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S143066"},{"key":"ref74","doi-asserted-by":"publisher","DOI":"10.1183\/23120541.00155-2023"},{"key":"ref75","doi-asserted-by":"publisher","DOI":"10.1159\/000480435"},{"key":"ref76","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.02.72"},{"key":"ref77","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S242210"},{"key":"ref78","doi-asserted-by":"publisher","DOI":"10.1159\/000446288"},{"key":"ref79","doi-asserted-by":"publisher","DOI":"10.1378\/chest.12-2826"},{"key":"ref80","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S101003"},{"key":"ref81","doi-asserted-by":"publisher","DOI":"10.1097\/MNM.0000000000001868"},{"key":"ref82","doi-asserted-by":"publisher","DOI":"10.1159\/000500407"},{"key":"ref83","doi-asserted-by":"publisher","DOI":"10.1159\/000517598"},{"key":"ref84","doi-asserted-by":"publisher","DOI":"10.1159\/000515336"},{"key":"ref85","doi-asserted-by":"publisher","DOI":"10.1007\/s11547-024-01883-y"},{"key":"ref86","doi-asserted-by":"publisher","DOI":"10.1183\/23120541.00279-2023"},{"key":"ref87","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S139304"},{"key":"ref88","doi-asserted-by":"publisher","DOI":"10.18632\/oncotarget.19352"},{"key":"ref89","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2024.08.012"},{"key":"ref90","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S106439"},{"key":"ref91","doi-asserted-by":"publisher","DOI":"10.1159\/000516326"},{"key":"ref92","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2025.108148"},{"key":"ref93","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00015312"},{"key":"ref94","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12253"},{"key":"ref95","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S302662"},{"key":"ref96","doi-asserted-by":"publisher","DOI":"10.1097\/LBR.0000000000001002"},{"key":"ref97","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S408674"},{"key":"ref98","doi-asserted-by":"publisher","DOI":"10.1111\/resp.13178"},{"key":"ref99","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S364448"},{"key":"ref100","doi-asserted-by":"publisher","DOI":"10.1080\/17476348.2020.1813571"},{"key":"ref101","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-012-2393-6"},{"key":"ref102","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13082354"},{"key":"ref103","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2024.06.3146"},{"key":"ref104","doi-asserted-by":"publisher","DOI":"10.1111\/resp.14734"},{"key":"ref105","doi-asserted-by":"publisher","DOI":"10.1183\/23120541.00735-2023"},{"key":"ref106","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003793.pub3"},{"key":"ref107","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.02.018"},{"key":"ref108","doi-asserted-by":"publisher","DOI":"10.1183\/23120541.00672-2021"},{"key":"ref109","doi-asserted-by":"publisher","DOI":"10.1159\/000450758"},{"key":"ref110","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00019711"},{"key":"ref111","doi-asserted-by":"publisher","DOI":"10.1016\/j.resmer.2022.100957"},{"key":"ref112","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S307829"},{"key":"ref113","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202208-664RL"}],"container-title":["Respiration"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000548437","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T17:01:24Z","timestamp":1773162084000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000548437"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,15]]},"references-count":113,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,3,10]]},"published-print":{"date-parts":[[2026,3,4]]}},"URL":"https:\/\/doi.org\/10.1159\/000548437","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.30124738","asserted-by":"subject"}]},"ISSN":["0025-7931","1423-0356"],"issn-type":[{"value":"0025-7931","type":"print"},{"value":"1423-0356","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,15]]}}}