Interventional Pulmonology is a subspecialty that focuses on the use of minimally invasive techniques to perform advanced diagnostic and therapeutic procedures for patients with benign and malignant disease of the lung, airways, and pleura. There are only a few medical centers in the nation that offer a comprehensive service by a physician formally trained in a dedicated fellowship who is able to offer the following expert procedural skills:
Diagnostic:
- Flexible bronchoscopy
- Endobronchial ultrasound (EBUS)
- Peripheral endobronchial ultrasound
- Robotic assisted bronchoscopy
- Electromagnetic navigation (ENB)
- Transbronchial cryobiopsy
- Transbronchial fine needle aspiration
- Transbronchial forceps biopsy
- Bronchial brushing biopsy
- Endobronchial biopsies
- Medical thoracoscopy
- Narrow band imaging
- Thoracentesis
Therapeutic:
- Rigid bronchoscopy
- Airway stenting (silicone and metal)
- Balloon dilation
- Ablative therapy
- Laser
- Argon Plasma Coagulation (APC)
- Cryotherapy, Electrocautery
- Microdebrider
- Endobronchial valve placement
- Mitomycin C application and steroid injections
- Cyanoacrylate glue application
- Fibrin glue application
- Bronchoscopic lung volume reduction for COPD
- Bronchial thermoplasty for asthma
- Percutaneous dilatational tracheostomy
- Thoracostomies (surgical and small bore chest tube placement)
- Indwelling pleural catheter placement (PleurX™)
- Talc poudrage and slurry pleurodesis
Expertise in Lung Diseases
- Lung cancer histological diagnosis, staging and appropriate oncological treatment
- Malignant Airway Disease
- Malignant central airway obstructions
- Pulmonary hemorrhage (massive and non-massive)
- Benign Airway Disease
- Post intubation/tracheostomy tracheal stenosis
- Post intubation airway injury
- Recurrent respiratory papillomatosis
- Sarcoidosis and bronchial stenosis
- Granulomatosis with polyangiitis and bronchial stenosis
- Tracheobronchomalacia / Excessive dynamic airway collapse
- Lung Transplant airway complications
- Malignant and benign pleural disease
- Recurrent malignant pleural effusion
- Recurrent exudative pleural effusion of unknown etiology