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Bronchial Thermoplasty (BT)

Bronchial Thermoplasty (BT) is a minimally invasive procedure for the treatment of severe asthma in adults. People with severe asthma have an excess of smooth muscle tissue lining their airways. During an asthma attack, this muscle constricts the airways, making breathing difficult. Bronchial Thermoplasty is a safe and effective FDA approved procedure that uses radiofrequency energy to reduce the excess tissue and help minimize the narrowing of your airway.

Airways Before & After Bronchial Thermoplasty Treatment

Bronchial Thermoplasty (BT) Treatment

In a clinical study of patients with persistent, severe asthma, 79% of patients treated with Bronchial Thermoplasty (BT) saw a significant improvement with 32% fewer severe asthma attacks, 84% fewer asthma-related emergency room visits and 66% fewer days lost from work, school and daily activities. Insert Video as well. There is a link to a nice video that we could load on the website. I was not able to paste it here, however.

Frequently Asked Questions (FAQs)

What is Bronchial Thermoplasty (BT)?

Bronchial Thermoplasty (BT) is a safe outpatient bronchoscopy procedure that uses mild heat to reduce excessive smooth muscle in the airways, which helps reduce severe asthma attacks.

How does BT work?

People with severe asthma have an excess of smooth muscle tissue lining their airways. During an asthma attack, this muscle constricts the airways, making breathing difficult. BT reduces the amount of excess muscle and helps minimize the narrowing of your airways during an asthma attack.

What are the benefits and risks of BT?

In a clinical trial, almost 79% of patients treated with BT reported significant improvements in their asthma-related quality of life, including a reduction in asthma attacks, ER visits and hospitalizations for respiratory symptoms, and fewer days lost from work, school, and other daily activities due to asthma. As with any procedure, there are risks and individual results may vary. The most common side effect of BT is temporary worsening of respiratory-related symptoms (within 1-7 days). There is a small risk (3.4%) of these symptoms requiring hospitalization.

Am I a candidate for BT?

BT delivered by the Alair System is approved by the FDA for the treatment of severe asthma in patients 18 years and older whose asthma is not well controlled with inhaled corticosteroids and long-acting beta-agonists such as Advair, Symbicort and Dulera. Further evaluation with your physician or a physician trained in BT will help determine whether you are a candidate who may benefit from this procedure.

What will happen during the procedure?

To ensure safety and optimal results every step of the way, BT is typically performed under moderate sedation in three separate sessions scheduled three weeks apart. Each session lasts about an hour and focuses on a different part of the lung to ensure all of the affected areas are treated. The device is introduced into your airways through a bronchoscope that is inserted into your mouth or nose, so no incision is required. After the procedure, you will be monitored for two to four hours and discharged on the same day. The treating physician will provide you with more details on what to expect during and after the procedure.

Who performs BT?

BT is performed at the hospital by a pulmonologist who is specially trained to perform bronchoscopy procedures and BT.

Will I be able to stop taking my asthma medications?

BT does not replace your current daily maintenance medication, but instead works with it to provide long-term stability in your asthma symptoms and lessen severe asthma attacks requiring oral steroids.

Is BT covered by insurance?

Coverage policies and payment vary by payer. Your BT physician and staff will work with you to request coverage for your BT procedure.

Schedule an Appointment

To find a respiratory & pulmonary care specialist, call 1-800-642-0101 or browse our Doctors Directory to schedule an appointment with an Adventist HealthCare doctor today.

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