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Review Article
Medical Progress
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Volume 344:740-749 March 8, 2001 Number 10
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Interventional Pulmonology
Luis M. Seijo, M.D., and Daniel H. Sterman, M.D.

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Interventional pulmonology is a new field within pulmonary medicine focused on the use of advanced bronchoscopic and pleuroscopic techniques for the treatment of a spectrum of thoracic disorders ranging from tracheobronchial stenosis to pleural effusions associated with malignant tumors.1,2,3,4

Techniques Used in Interventional Pulmonology

Rigid Bronchoscopic Debulking or Balloon Dilation

Therapeutic use of bronchoscopy began over 100 years ago with the development of rigid bronchoscopes. These instruments have beveled tips, which are ideal for coring through large tumors in the airways and for dilating strictures, and they have large internal diameters, which facilitate débridement of tumors, evacuation of clots, and ventilation.5 Despite advances in other adjunctive endoscopic techniques, rigid bronchoscopic recanalization . . . [Full Text of this Article]

Endobronchial Laser Therapy

Endobronchial Cryotherapy and Electrocautery

Endobronchial Brachytherapy

Photodynamic Therapy

Tracheobronchial Stenting

Pleuroscopy

Common Clinical Applications

Endoluminal Airway Obstruction

Extrinsic Airway Compression

Tracheobronchomalacia

Pleural Effusions Due to Malignant Tumors

Conclusions


Source Information

From the Interventional Pulmonology Program, Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania Medical Center, Philadelphia.

Address reprint requests to Dr. Sterman at the Interventional Pulmonology Program, Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Hospital of the University of Pennsylvania, 833 W. Gates Pavilion, 3400 Spruce St., Philadelphia, PA 19104, or at sterman@mail.med.upenn.edu.

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