Interventional Pulmonology Services

Scott & White Healthcare

 Interventional Pulmonology procedures are generally safer and require a shorter recovery time than patients who undergo surgery. However, in some cases, surgery remains the best solution for diagnosis and treatment of many lung conditions.

A more recent advance in technology which helps physicians to provide a more accurate diagnosis is the Endobronchial ultrasound (EBUS) which can sometimes eliminate the need for additional testing. This works with a ultrasound probe at the end of a broncoscope that is placed in the wind tubes of the lungs and allows the physician to view in real time the and assists in precise biopsy of lymph nodes.

Diagnostic and Therapeutic Procedures

Bronchoscope  allows your physician to see inside your lungs. The bronchoscope is used to diagnose lung diseases, such as lung cancer, cancer that has spread to your lung, lung infections, narrowing of the wind tubes from other organs, pneumonia, tuberculosis and other diseases.

Flexible Bronchoscopy is a procedure using a flexible bronchoscope that passes through the nose or mouth through the windpipe and into the airways of the lungs providing the physician a view on a video screen. During a bronchoscopy, your physician can collect small tissue samples to detect cancer and identify the spread of cancer into the lymph nodes as well as collect samples looking for infections, visualize narrowing or tumor growth within the wind tubes among many other applications.

Airway prosethetics and stents  If the passages to your airways, or bronchus, becomes blocked you could experience difficulty breathing, cough, and can develop lung collapse or pneumonia. Stents can help open the blocked bronchus.

Argon plasma coagulation (APC) Used to treat lung and esophagus tumors, can help excessive bleeding, the APC is a form of electrosurgery.

images of scope with balloon

Balloon dilation Similar to opening coronary arteries through angioplasty, when airways are narrowed a balloon can be used to open the airway.

Electrocautery Targets tumors in the airway by freezing the tissues.

Laser YAG, CO2  Allow for removal of tumors or strictures within the wind tubes helping to restore the normal size and opening of the wind tubes. Can be used in benign or malignant obstructions.

Endobronchial brachytherapy  Form of radiation within the wind tubes for selected patients that develop obstruction of the wind tubes due to a malignant condition.

Foreign body removal using a bronchoscopy to remove inhaled foreign objects that get caught in the airway.

Pleuroscopy/medical thoracoscopy   A small camera introduced in the chest and is used to help diagnose and treat conditions of the pleura (lining of the chest) in a minimally invasive manner with short recovery time and unlike surgical thoracoscopy, does not require general anesthesia.

Photodynamic therapy uses laser light to kill cancers blocking the wind tubes after tumor cells being sensitized to light.

Trans-trecheal oxygen therapy catheter A small and almost invisible tube placed in the main wind tube for administration of oxygen at very high flow rates.

Diagnostic and therapeutic thoracentesis Placement of a small catheter through the chest wall in a fluid pocket to assist in finding its cause and removing a large volume to improve the breathing.

Tunneled pleural catheter Placement of a small drain under the skin in a semi-permanent fashion that will allow for removal of fluid built around the lung causing trouble breathing without having to visit the physician’s office or having a repeat procedure. Typically used in cancer related fluid build up but can also be used in other conditions.

Closed pleural biopsy Biopsy of the lining of the chest using a needle and ultrasound guidance.

Precutaneous dilational tracheotomy Placement of a breathing appliance in the wind tube for patients with prolonged mechanical ventilation or difficulty weaning from it.

Placement of endobronchial valves Small valves implanted through a camera placed within the wind tubes that allow to treat patients with persistent air leaks after lung surgery.

 


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