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Education and Specialized Treatment Centers The EBV treatment is only performed in a few centers with trained pulmonologists. The expert centers also need to have major COPD experience and do need to have access to other bronchoscopic and surgical treatment options to be able to opt for the ideal treatment for the patient. In the literature, no recommendations on minimal procedure volume numbers are reported, but to reach the experience level needed, we believe that at least 15–20 treatments per year per treating physician per center should be performed, but we will need to evaluate this in the future.

From Bench to Bedside: Implementation of Endobronchial Valve Treatment for Patients with Advanced Emphysema in Routine Clinical Care