FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 344:740-749 March 8, 2001 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

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.

References

This article has been cited by other articles:

• Sato, T., Tao, H., Araki, M., Ueda, H., Omori, K., Nakamura, T. (2008). Replacement of the left main bronchus with a tissue-engineered prosthesis in a canine model.. Ann. Thorac. Surg. 86: 422-428 [Abstract] [Full Text]  
• Lin, S-M., Lin, T-Y., Chou, C-L., Chen, H-C., Liu, C-Y., Wang, C-H., Lin, H-C., Yu, C-T., Lee, K-Y., Kuo, H-P. (2008). Metallic stent and flexible bronchoscopy without fluoroscopy for acute respiratory failure. Eur Respir J 31: 1019-1023 [Abstract] [Full Text]  
• Karakoca, Y., Karaagac, G., Aydemir, C., Caner, C. (2008). A New Endoluminal Resection Technique and Device: Resector Balloon. Ann. Thorac. Surg. 85: 628-631 [Abstract] [Full Text]  
• Wahidi, M. M., Ernst, A. (2005). Role of the Interventional Pulmonologist in the Intensive Care Unit. J Intensive Care Med 20: 141-146 [Abstract]  
• Lunn, W., Garland, R., Gryniuk, L., Smith, L., Feller-Kopman, D., Ernst, A. (2005). Reducing Maintenance and Repair Costs in an Interventional Pulmonology Program. Chest 127: 1382-1387 [Abstract] [Full Text]  
• Daniel Knott, P., Lorenz, R. R., Eliachar, I., Murthy, S. C. (2004). Reconstruction of a tracheobronchial tree disruption with bovine pericardium. ICVTS 3: 554-556 [Abstract] [Full Text]  
• Iwamoto, Y., Miyazawa, T., Kurimoto, N., Miyazu, Y., Ishida, A., Matsuo, K., Watanabe, Y. (2004). Interventional Bronchoscopy in the Management of Airway Stenosis Due to Tracheobronchial Tuberculosis. Chest 126: 1344-1352 [Abstract] [Full Text]  
• Nakamura, Y., Endo, C., Sato, M., Sakurada, A., Watanabe, S.-i., Sakata, R., Kondo, T. (2004). A New Technique for Endobronchial Ultrasonography and Comparison of Two Ultrasonic Probes: Analysis With a Plot Profile of the Image Analysis Software NIH Image. Chest 126: 192-197 [Abstract] [Full Text]  
• Hetzel, M., Hetzel, J., Schumann, C., Marx, N., Babiak, A. (2004). Cryorecanalization: A new approach for the immediate management of acute airway obstruction. J. Thorac. Cardiovasc. Surg. 127: 1427-1431 [Abstract] [Full Text]  
• Hasegawa, I., Boiselle, P. M., Raptopoulos, V., Hatabu, H. (2003). Tracheomalacia Incidentally Detected on CT Pulmonary Angiography of Patients with Suspected Pulmonary Embolism. Am. J. Roentgenol. 181: 1505-1509 [Abstract] [Full Text]  
• Ernst, A., Silvestri, G. A., Johnstone, D. (2003). Interventional Pulmonary Procedures: Guidelines from the American College of Chest Physicians. Chest 123: 1693-1717 [Full Text]  
• Rubin, A. E., Wang, K.-P., Liu, M. C. (2003). Tracheobronchial Stenosis From Acid Aspiration Presenting as Asthma. Chest 123: 643-646 [Abstract] [Full Text]  
• Kirschke, D. L., Jones, T. F., Craig, A. S., Chu, P. S., Mayernick, G. G., Patel, J. A., Schaffner, W. (2003). Pseudomonas aeruginosa and Serratia marcescens Contamination Associated with a Manufacturing Defect in Bronchoscopes. NEJM 348: 214-220 [Abstract] [Full Text]  
• Barker, A. F. (2002). Bronchiectasis. NEJM 346: 1383-1393 [Full Text]  
• MIYAZU, Y., MIYAZAWA, T., KURIMOTO, N., IWAMOTO, Y., KANOH, K., KOHNO, N. (2002). Endobronchial Ultrasonography in the Assessment of Centrally Located Early-Stage Lung Cancer before Photodynamic Therapy. Am. J. Respir. Crit. Care Med. 165: 832-837 [Abstract] [Full Text]  
• Miyazawa, T., Miyazu, Y., Iwamoto, Y., Ishida, A., Kanoh, K., Sumiyoshi, H., Doi, M., Kurimoto, N. (2004). Stenting at the Flow-limiting Segment in Tracheobronchial Stenosis due to Lung Cancer. Am. J. Respir. Crit. Care Med. 169: 1096-1102 [Abstract] [Full Text]