Interventional Pulmonology

Interventional Pulmonology encompasses a broad array of screening, diagnostic and therapeutic procedures as it relates to diseases of chest.

We use a variety of different and advanced technologies to make the procedures both better in terms of their diagnostic yield as well as safer and less invasive relative to the more traditional approaches to some of these problems. These new technologies include: the use of special light source called – autoflourescence bronchoscopy as a potential screening method for early detection of lung cancer, the use of ultrasound in the airways, lung parenchyma and the esophagus so as to provide a method of real-time imaging of any thoracic abnormality including, lymph nodes, lung nodules, lung masses, vascular abnormalities, and airway abnormalities including those patients with asthma or emphysema. These methods also allow for real-time imageguided sampling of these abnormalities as well. Additionally, we are just now beginning to use electromagnetic field technology to better localize and sample more peripheral lesions of the lung as well.

Procedures include:

  • AF Bronchoscopy
  • Endoscopic Ultrasound
  • Endobronchial Ultrasound
  • EMF guided biopsy

We also perform a variety of therapeutic procedures as it relates to both the airways and the pleural space. In broad strokes these represent: 1) the relief and treatment of any form of airway obstruction, narrowing or weakness using a variety of different tools including lasers, placement of specialized, focally directed catheters for radiation therapy and stents. 2) the treatment of all types of pleural disease including pleural effusions of any kind that are symptomatic or that remain undiagnosed. We use a variety of minimally invasive techniques such as the placement of tunneled pleural catheters and pleuroscopy which are most frequently out-patient procedures and require much less in the way of anesthesia and recovery time to diagnose and treat these problems.

Procedures include:

  • Flexible and rigid bronchocoscopy
  • Including the use of lasers, electrocautry, and argon plasma coagulation
  • Stent placement
  • Placement of brachytherapy catheters, wires and beads
  • Intratumoral injection of chemotherapy agents
  • Placement of tunneled Pleural (Pleurx) Cathaters
  • Pleuroscopy with pleurodesis.