We provide multidisciplinary evaluation and care for patients needing advanced diagnostic or therapeutic pulmonary procedures. Both malignant and non-malignant central airway obstructions are addressed by our team.
Patients with pleural effusions, mediastinal adenopathy, and lung nodules or masses are also evaluated and treated with recommendations from a multidisciplinary thoracic oncology tumor board which includes Interventional Pulmonology, Thoracic Surgery, Medical Oncology, and Radiation Oncology.
We also perform ultrasound guided pleural procedures such as placement of PleurRx® and pigtail catheters, in addition to whole lung lavage for Pulmonary Alveolar Proteinosis. Additionally, we are available for intrabronchial valve placement for the management of prolonged air leaks.
A close collaboration with Otolaryngology Head and Neck Surgery for complex central airway obstructions is readily available. Examples of non-malignant airway obstruction which are appropriate referrals include diseases such as tracheobronchomalacia, tracheal, sub-glottic, or bronchial stenosis, relapsing polychondritis, and Granulomatous Polyangiitis. We strive to tailor therapies to each patient. Technologies used include:
- Rigid bronchoscopy
- Endobronchial ultrasound (EBUS)
- Thermal techniques including argon plasma coagulation (APC), electrocautery, laser, and cryotherapy
- Photodynamic therapy
- Navigational bronchoscopy
- Endobronchial brachytherapy
- Silicone, metallic, and hybrid airway stents
- Bronchial thermoplasty for severe asthma