The Interventional Pulmonology Unit at the Centre of Chest & Respiratory diseases is an advanced unit that diagnoses and treats complicated pulmonary diseases using state-of-the-art, minimally invasive techniques. These techniques often reduce the complication rate, recovery time, and discomfort associated with more invasive procedures. We at the unit treat and manage a wide range of problems related to many types of complex airway disease, lung cancer, and pleural effusions, and advanced treatment options for lung diseases like emphysema.
Our interventional pulmonology unit is equipped with advanced diagnostic and therapeutic techniques such as flexible bronchoscopic tools, pleural aspiration, pleurodesis, etc. We have a multidisciplinary team of interventional pulmonologists, thoracic surgeons, otolaryngologists, medical oncologists, radiation oncologists, thoracic radiologists, anaesthesiologists and other supporting staff to offer comprehensive care and develop a patient-centric treatment plan by evaluating their current medical conditions. We strive to provide the best care and services to our patients and help them improve their quality of life.
Symptoms For Interventional Pulmonology
- Coughing up blood (haemoptysis)
- Abnormal chest X-rays
- Lung and Chest Cancer
- Pleural effusion (fluid around the lungs)
- Persistent respiratory failure (requiring tracheostomy placement and management)
Conditions We Treat
Some of the major conditions we treat include:
Airway stricture (due to benign and malignant causes)
- Carcinoid tumours
- Compressed airways
- Congenital airway stenosis
- Endobronchial tumours
- Fibrosing mediastinitis
- Granulomatosis with polyangiitis (Wegener's granulomatosis)
- Lung cancer
- Recurrent respiratory papillomatosis
- Relapsing polychondritis
- Tuberculosis (TB)
Diagnostic & Treatment Procedures
Some of the advanced treatment options that we offer under the Interventional Pulmonology unit include:
- Flexible Bronchoscopy - It is an advanced minimally-invasive, video-assisted interventional pulmonology procedure that is performed using a thin, flexible bronchoscope for diagnostic and therapeutic interventions of TransBronchial Lung Biopsy (TBLB)/ TransBronchial Needle Aspiration (TBNA)/ foreign body removal. The bronchoscope has an HD camera attached to its tip which displays images from inside the lung on a video screen and helps doctors to perform a range of interventional pulmonology procedures, such as:
- Bronchoscopic Electrocautery: It is used for diagnosing and treating endobronchial (within the airways) obstructive lesions such as tracheobronchial stenosis, benign tumours, lung cancers, and subglottic stenosis. The procedure is performed using various instruments like hot forceps, snare, knife powered by cautery, which passes through a bronchoscope inside the lungs.
- Bronchoscopic Argon Plasma Coagulation (APC): This procedure involves the use of heat produced by argon gas to target the tissue near the tumour, without actually touching it.
- Bronchoscopic Cryotherapy: The procedure is used to remove granulation tissue from stents or anastomoses, malignant airway tumours, and treat a variety of benign disorders, by using extreme sub-degree temperature.
- Bronchial Thermoplasty: The procedure is used to treat cases of severe asthma that have not shown improvement through medication. It involves the use of a heat probe that is applied directly on the walls of the airways which destroys the smooth muscle layers. The constriction of the smooth muscle layers is caused by asthma symptoms.
- Bronchoscopic Laser Ablation: This procedure involves the use of a laser beam with a high degree of precision to remove trachea-bronchial tumours, subglottic stenosis and trachea-bronchial stenosis.
- Tracheobronchial Stenting: This process involves the removal of an obstruction in the airways that can be caused due to cancers or benign diseases like subglottic stenosis, tracheal, and trachea-oesophageal fistula.
- Pleural Aspiration - The procedure is used to extract the fluid accumulated outside the lungs in the chest cavity using a cannula/needle for diagnosis of pleural diseases or therapeutic benefit.
- Pleurodesis - This procedure is performed to treat recurrent pleural effusions (fluid around the lungs) using a small tube that is inserted into the chest cavity to spray a chemical around the lungs. With time the inflamed lung lining (pleura) sticks back tightly to the inner chest wall, thereby preventing fluid from accumulating around the lungs.
- Medical Thoracoscopy / Pleuroscopy - It is a diagnostic procedure that is used to diagnose medical conditions related to the pleura (lining of the lungs). The pleural space is examined using thoracoscopy/ pleuroscopy that provides a view of the outside edges of the lung, which is not possible with bronchoscopy.
- Pulmonary Hypertension - It involves diagnosis and management of high blood pressure, which affects the arteries in the lungs and right side of the heart. A procedure called right heart catheterisation may also be needed.
Our Medical Experts
If you are facing any similar signs or symptoms please contact the Nanavati Max team to schedule an appointment at : +91 22 6836 0000