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Two-year follow-up after endobronchial coil treatment in emphysema: results from the REVOLENS study

Gaëtan Deslée, Sylvie Leroy, Jeanne Marie Perotin, Hervé Mal, Hervé Dutau, Arnaud Bourdin, Jean Michel Vergnon, Christophe Pison, Romain Kessler, Vincent Jounieaux, Mathieu Salaün, Armelle Marceau, Sandra Dury, Jonathan Benzaquen, Margaux Bonnaire, Sylvain Dukic, Coralie Barbe, Charles Hugo Marquette , on behalf of the REVOLENS Study Group13
European Respiratory Journal 2017 50: 1701740; DOI: 10.1183/13993003.01740-2017
Gaëtan Deslée
1Service de Pneumologie, INSERM U903, Hôpital Universitaire, Reims, France
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  • For correspondence: gdeslee@chu-reims.fr
Sylvie Leroy
2Service de Pneumologie, CHU de Nice, FHU OncoAge, Université Côte d'Azur, Nice, France
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Jeanne Marie Perotin
1Service de Pneumologie, INSERM U903, Hôpital Universitaire, Reims, France
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Hervé Mal
3Service de Pneumologie, Hôpital Universitaire Bichat, Paris, France
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Hervé Dutau
4Service d'Oncologie Thoracique, Maladies de la Plèvre, Pneumologie Interventionnelle, Hôpital Universitaire, Marseille, France
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Arnaud Bourdin
5Département de Pneumologie et Addictologie, PhyMedExp, INSERM U1046, CNRS UMR, Hôpital Universitaire, Montpellier, France
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Jean Michel Vergnon
6Service de Pneumologie, Hôpital Universitaire, Saint Etienne, France
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Christophe Pison
7Clinique Universitaire de Pneumologie, Pôle Thorax et Vaisseaux, Inserm1055, Hôpital Universitaire Grenoble Alpes, Inserm1055, Université Grenoble Alpes, Grenoble, France
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Romain Kessler
8Service de Pneumologie, Hôpital Universitaire, Strasbourg, France
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Vincent Jounieaux
9Service de Pneumologie, Hôpital Universitaire, Amiens, France
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Mathieu Salaün
10Service de Pneumologie, Oncologie Thoracique et Soins Intensifs Respiratoires, Hôpital Universitaire, Rouen, France
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Armelle Marceau
3Service de Pneumologie, Hôpital Universitaire Bichat, Paris, France
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Sandra Dury
1Service de Pneumologie, INSERM U903, Hôpital Universitaire, Reims, France
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Jonathan Benzaquen
2Service de Pneumologie, CHU de Nice, FHU OncoAge, Université Côte d'Azur, Nice, France
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Margaux Bonnaire
11Département de Méthodologie, Pôle Recherche-Innovations, Hôpital Universitaire, Reims, France
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Sylvain Dukic
12Unité de vigilance des essais cliniques, Hôpital Universitaire, Reims, France
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Coralie Barbe
11Département de Méthodologie, Pôle Recherche-Innovations, Hôpital Universitaire, Reims, France
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Charles Hugo Marquette
2Service de Pneumologie, CHU de Nice, FHU OncoAge, Université Côte d'Azur, Nice, France
13A list of members of the REVOLENS Study Group can be found in the acknowledgements section
13
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Tables

  • Supplementary Materials
  • TABLE 1

    Changes from baseline at 6 and 12 months, and 2 years after coil treatment

    Overall groupPatients who attended the 2-year follow-up visit
    Baseline6 months12 monthsBaseline6 months12 months2 years
    Subjects n50474432323232
    6MWT m300±112+18±81; p=0.14−2±87; p=0.88323±105+25±67; p=0.048+15±77; p=0.29+6±84; p=0.56
     ≥54 m16/44 (36%)8/43 (19%)12/32 (38%)7/32 (22%)7/28 (25%)
     ≥25 m19/44 (43%)12/43 (28%)15/32 (47%)11/32 (34%)11/28 (39%)
    mMRC scale3±0.7−0.5±0.9; p=0.0002−0.5±1; p=0.0062.9±0.6−0.7±0.9; p=0.0003−0.7±1; p=0.0007−0.4±1; p=0.06
     ≥119/47 (40%)19/41 (46%)15/32 (47%)15/30 (50%)13/30 (43%)
    FEV1 L0.75±0.25+0.05±0.14; p=0.02+0.04±0.15; p=0.10.78±0.26+0.04±0.15; p=0.15+0.03±0.14; p=0.210±0.16; p=0.92
     ≥100 mL17/47 (36%)12/44 (27%)12/32 (38%)8/32 (25%)8/32 (25%)
     ≥10%21/47 (45%)14/44 (32%)14/32 (44%)9/32 (28%)12/32 (38%)
    RV L6.2±0.86−0.53±0.72; p<0.0001−0.47±0.68; p<0.00015.92±0.74−0.46±0.51; p<0.0001−0.39±0.68; p=0.003−0.28±0.69; p=0.03
     ≥350 mL29/47 (62%)25/44 (57%)19/32 (59%)18/32 (56%)14/32 (44%)
    SGRQ (0–100)60.8±12.8−11.1±16.1; p<0.0001−9.1±15.9; p=0.000657.9±12.3−12.3±17.6; p=0.0005−11.5±16.4; p=0.0006−7.9±14.5; p=0.005
     ≥4 points32/45 (71%)26/42 (62%)24/31 (77%)21/30 (70%)20/31 (65%)
     ≥8 points28/45 (62%)21/42 (50%)21/31 (68%)16/30 (53%)16/31 (52%)

    Data are presented as mean±sd or number (%), unless otherwise stated. The percentage of patients reaching the minimal clinically important difference for each variable is indicated. Changes from baseline were assessed by paired t-tests. 6MWT: 6-min walking test; mMRC : modified Medical Research Council dyspnoea scale; FEV1: forced expiratory volume 1 s; RV: residual volume; SGRQ: Saint George's Respiratory Questionnaire.

    Supplementary Materials

    • Tables
    • Supplementary Material

      A. Bourdin ERJ-01740-2017_Bourdin

      G. Deslée ERJ-01740-2017_Deslee

      H. Dutau ERJ-01740-2017_Dutau

      V. Jounieaux ERJ-01740-2017_Jounieaux

      H. Mal ERJ-01740-2017_Mal

      A. Marceau ERJ-01740-2017_Marceau

      C.H. Marquette ERJ-01740-2017_Marquette

      C. Pison ERJ-01740-2017_Pison

      J.M. Vergnon ERJ-01740-2017_Vergnon

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    Two-year follow-up after endobronchial coil treatment in emphysema: results from the REVOLENS study
    Gaëtan Deslée, Sylvie Leroy, Jeanne Marie Perotin, Hervé Mal, Hervé Dutau, Arnaud Bourdin, Jean Michel Vergnon, Christophe Pison, Romain Kessler, Vincent Jounieaux, Mathieu Salaün, Armelle Marceau, Sandra Dury, Jonathan Benzaquen, Margaux Bonnaire, Sylvain Dukic, Coralie Barbe, Charles Hugo Marquette
    European Respiratory Journal Dec 2017, 50 (6) 1701740; DOI: 10.1183/13993003.01740-2017

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    Two-year follow-up after endobronchial coil treatment in emphysema: results from the REVOLENS study
    Gaëtan Deslée, Sylvie Leroy, Jeanne Marie Perotin, Hervé Mal, Hervé Dutau, Arnaud Bourdin, Jean Michel Vergnon, Christophe Pison, Romain Kessler, Vincent Jounieaux, Mathieu Salaün, Armelle Marceau, Sandra Dury, Jonathan Benzaquen, Margaux Bonnaire, Sylvain Dukic, Coralie Barbe, Charles Hugo Marquette
    European Respiratory Journal Dec 2017, 50 (6) 1701740; DOI: 10.1183/13993003.01740-2017
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