This is a randomized clinical trial evaluating the safety and efficacy of Apreo BREATHE system in patients with severe emphysema and dyspnea due to hyperinflation despite optimal medical therapy. It is a self expanding nitinol scaffold that tents open target airways and thus providing support to native airways and releasing trapped air, reducing hyperinflation. Patients will be followed for three years, with randomized participants receiving either standard care alone or standard care plus the Apreo implant via bronchoscopy.
Severe bilateral emphysema with heterogeneity (upper or lower dominance) in at least one lung
Significant air trapping (RV ≥180% predicted)
ClinicalTrials.gov Identifier: NCT06891755
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