Interventional Pulmonology Services
LHS Physicians are highly trained and experienced Interventional Pulmonologists that deliver advanced, minimally invasive bronchoscopy techniques.
The bronchoscope allows us to deliver laser and other cancer-killing technologies to tumors buried deep inside the lungs. As a result, we can manage symptoms like bleeding, or coughing, open up a blocked airway, and treat a very early stage lung cancer or a previously treated area.
Your first visit will encompass a full diagnostic evaluation, including, but not limited to:
- Interview, intake, full history, and physical
- Lung functions are measured and analyzed with patient with live or virtual Spirometry techniques
- Review of all imaging and radiological studies
- Full plan of care is developed the same day with goals to achieve the earliest, most effective therapy to support lung health specifically and the body as a whole.
What problems do we address?
The cause of symptoms including wheezing, coughing and labored breathing is identified. Lung nodules and lung abnormalities are evaluated and sampled to determine their origins to allow other specialists to treat them effectively and specifically.
Advanced Diagnostics Methods
Therapeutic flexible or rigid bronchoscopies are state-of-the-art techniques that allow to:
- Control bleeding in the airway
- Suction excess fluid or mucus from the airway
- Therapeutically remove foreign bodies from the airway, such as tumors, aspirated food.
- Resecting and treating growths or tumors in the airway using radiation laser, cryotherapy
- Place airway stents
'Balloon Dilation' via bronchoscopy
Cancers can cause the airways to narrow (a process called stenosis) because of tumors or scarring The result can be cough and difficulty breathing. Stenosis also makes it difficult, or impossible, to reach tumors and other tissues that require treatment. We use balloon bronchoscopy to open airways that are blocked by tumors or that require other treatments.
A stent is a tiny tube made of silicone or metal used to open the airway before or after other therapeutic treatments. Stent placement is performed in an operating room using a bronchoscope (a flexible tube with a camera at the end) to look inside the airway.
The Holmium and Nd: yttrium-aluminum-garnet laser penetrates tissue more deeply than other lasers. When directed at tumors in the airways through a bronchoscope, its energy burns the lesions and turns them into smoke.
Argon plasma coagulation (APC)
Argon is a gas that behaves like a liquid, and can be used to treat tumors and control bleeding in the airways. The argon gas is passed through the bronchoscope while an electrical current is applied, converting the gas into a liquid plasma. The plasma applies itself to tumors, bending to conform to the precise shape. This kills cancerous cells without touching the tumor, which is important for tumors that are bleeding.
Cryotherapy is the use of extreme cold gas to destroy tumors, abnormal or diseased tissue. To perform cryotherapy, the interventional pulmonologist use a cold probe and apply it over the surface of a tumor, using a bronchoscopy. Cryotherapy is an effective technique used to treat obstructions in the airways and lung tumors that cannot be removed by surgery. Cryotherapy may also be the only option for patients with airway stents that are not candidates for other treatments.
Thoracentesis is a procedure where a needle or tube is inserted through the chest wall into the space around the lungs (pleural space), with ultrasound guidance, to drain excess fluid from the pleura.
Indwelling pleural catheter
This is a small tube specially designed to be inserted in the pleural space to drain fluid from around the lungs. This type of catheter is a soft, flexible tube that is placed subcutaneously and removed if needed once the fluid/Pleural effusion is resolved .The indwelling pleural catheter is placed inside the chest under local anesthesia. One end remains inside the chest and the other leads outside the body for drainage. The catheter does not limit patient activity.
A procedure performed using a chemical agent that is injected into the chest causing the membranes around the lung to stick together. The agent helps eliminates the space between the tissues surrounding the lungs so that fluid can no longer accumulate there.