Bronchial thermoplasty: a new therapeutic option for the treatment of severe, uncontrolled asthma in adults

Bronchial thermoplasty is a young yet promising treatment for severe asthma whose benefit for long-term asthma control outweighs the short-term risk of deterioration and hospitalisation in the days following the treatment. It is an innovative treatment whose clinical efficacy and safety are beginnin...

Full description

Bibliographic Details
Main Authors: Marie-Christine Dombret, Khuder Alagha, Louis Philippe Boulet, Pierre Yves Brillet, Guy Joos, Michel Laviolette, Renaud Louis, Thierry Rochat, Paola Soccal, Michel Aubier, Pascal Chanez
Format: Article
Language:English
Published: European Respiratory Society 2014-12-01
Series:European Respiratory Review
Online Access:http://err.ersjournals.com/content/23/134/510.full.pdf+html
Description
Summary:Bronchial thermoplasty is a young yet promising treatment for severe asthma whose benefit for long-term asthma control outweighs the short-term risk of deterioration and hospitalisation in the days following the treatment. It is an innovative treatment whose clinical efficacy and safety are beginning to be better understood. Since this is a device-based therapy, the overall evaluation of risk–benefit is unlike that of pharmaceutical products; safety aspects, regulatory requirements, study design and effect size assessment may be unfamiliar. The mechanisms of action and optimal patient selection need to be addressed in further rigorous clinical and scientific studies. Bronchial thermoplasty fits in perfectly with the movement to expand personalised medicine in the field of chronic airway disorders. This is a device-based complimentary asthma treatment that must be supported and developed in order to meet the unmet needs of modern severe asthma management. The mechanisms of action and the type of patients that benefit from bronchial thermoplasty are the most important challenges for bronchial thermoplasty in the future.
ISSN:0905-9180
1600-0617