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interventional pulmonary medicine

Interventional pulmonary medicine has become an invaluable tool in the diagnosis and treatment of airway and pleural disorders.  Notably, patients who's conditions have thus far been considered irreversible have been shown to have improved lung function and quality of life.

Pulmonary Associates has taken great strides to stay abreast of all the latest procedures, technologies, and therapies so that our patients are provided the best possible outcome for their condition.

Electromagnetic Navigational Bronchoscopy

Electromagnetic Navigation Bronchoscopy represents a promising new approach for detecting lung cancer earlier.

Using electromagnetic navigation bronchoscopy, the inReach System enables physicians to biopsy lung lesions that are too small and inaccessible through the traditional bronchoscope; using a minimally invasive pathway to the peripheral lung.

Read on for more information about inReach and it's benefits.  CLICK HERE

Endobronchial ultrasound

This procedure is a more effective way of doing TBNA.

Endobronchial Ultrasound (EBUS) is a relatively new, but highly effective, procedure used in the diagnosis of lung cancer, infections, and other diseases causing enlarged lymph nodes in the chest. 

During the EBUS procedure, instead of surgical incisions, fibre-optic technology is passed through the trachea via a scope; allowing for direct visualization and biopsy of the lymph nodes.  Thus eliminating the need for invasive surgery.






  Diagnostic 
  - Electromagnetic
     Navigational Bronchoscopy

 
- Transbronchial Needle
     Aspiration
  - Endobronchial Ultrasound
  - Thoracentesis


  Therapeutic
  for Pleural Diseases
  - Pleurex Catheter Insertion

  for Central Airway
        Obstructions
  - Laser Bronchoscopy 
  - Argon Plasma Coagulation
  - Endobronchial
     Electrocautery
 
  - Airway Stenting

 
Listed below are some of the diagnostic/therapeutic procedures collectively performed by our physicians:

pleurex catheter insertion

The pleurex catheter is a treatment option that is used in the management of malignant pleural effusions. 

For the procedure, a small catheter is placed into the thoracic cavity under local anesthesia.  Patients  and/or family members are then instructed on proper care and use of the catheter; and the patient is discharged home the same day.

This procedure gives the patient a far less painful method of managing their disease than in the past; allowing them to drain their pleural space as often as desired or necessary, while maintaining their level of independence and reducing hospitalizations.


transbronchial needle aspiration

Transbronchial Needle Aspiration (TBNA) is a non-surgical procedure used to collect tissue samples for the diagnosis and staging of different chest diseases. 

During a TBNA procedure, a needle is passed through a bronchoscope to collect a tissue sample from a suspicious area of the lung or airway.  This provides a nonsurgical means to diagnose and stage bronchogenic carcinoma by sampling the mediastinal lymph nodes.

DIAGNOSTIC
THERAPEUTIC
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thoracentesis

A thoracentesis is a procedure used to remove fluid (a pleural effusion) or air from the lung's pleural space. 

The procedure is performed with the patient sitting upright and leaning forward or recumbent.  An area of the chest wall is anesthetized and a needle is inserted; a catheter then collects the pleural fluid for testing to determine etiology. 

Although  primarily a diagnostic procedure , a thoracentesis will often relieves symptoms of a pleural effusion such as shortness of breath, chest pain, and cough.

airway stenting

At times, patients experiencing trouble breathing due to obstruction of one of the major air passages from either benign or malignant airway disease may require airway stenting in order to maintain an open airway.

During the procedure, a tiny tube (metal or plastic) is inserted through a bronchoscope and placed in the obstructed airway to  prop it open and prevent further obstruction.

Depending on the type of stent being placed, a patient can expect to spend a few hours or a few days in the hospital.

ARGON PLASMA COAGULATION

Argon Plasma Coagulation is a method of thermal tissue destruction.  The heat created by high-frequency electric currents is passed, via a jet of argon gas, through a flexible or rigid bronchoscope, to coagulate or vaporize tissue. 

laser bronchoscopy

Laser Bronchoscopy is an invasive, procedure used to destroy lung tissues / lesions which are obstructing the airway.

endobronchial electrocautery

Endobronchial Electrocautery is a second mode of thermal tissue destruction.  Rather than using gas as a conduit, in this procedure the electric currents are conducted using a contact probe.

Endobronchial Electrocautery is used for tumor ablation and the treatment of hemoptysis and can be performed under local anesthesia during a "routine" outpatient bronchoscopy

- for PLEURAL DISEASES

- for CENTRAL AIRWAY OBSTRUCTIONS

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