Bronchoscopic Cryospray Improves Symptoms in COPD With Chronic Bronchitis
The SPRAY-CB trial randomized 203 patients with COPD and chronic bronchitis 2:1 to bronchoscopic mucus clearance with or without metered liquid nitrogen cryospray (MCS) using the RejuvenAir System. At 12 months, the trial reported significantly greater improvement in SGRQ and CAT scores with MCS versus sham, along with lower severe AECOPD rates (21.3% vs 26.9%), while periprocedural pneumothorax occurred in 3.6% of treatments and eight deaths were reported, none deemed device- or procedure-related.
Most relevant for: Patients with COPD and chronic bronchitis with productive cough being considered for bronchoscopic interventions.
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