Interventional Pulmonology Unit at Yashoda Hosptital Ghaziabad

The Centre for Lungs and Sleep Medicine consist of a group of physicians, surgeons, and pulmonologists who provide comprehensive consultative evaluation and management for patients with pulmonary disease associated with cancer, critically ill patients, or the workup of undiagnosed lung abnormalities.

Considered as a new field of pulmonary medicine, Interventional Pulmonology is focused on the use of advanced diagnostic and therapeutic techniques to treat patients with various disorders related to lungs, airway, and pleural diseases.

Our goal at Yashoda Hospital is to provide comprehensive care in a multidisciplinary fashion with cutting-edge facilities to be on the forefront of Interventional Pulmonology. Our interventional pulmonologists work closely with a multidisciplinary team, including lung surgeons, cancer specialists, and pathologists, to develop an individualized treatment plan for each patient by evaluating their current medical condition. We strive to provide the best care and services to our patients and help them improve their quality of life.

What Are The Conditions We Treat Under Interventional Pulmonology?

Some of the major conditions we treat under Interventional Pulmonology include:

• Tuberculosis (TB)
• Amyloidosis
• Lung Cancer
• Carcinoid Tumours
• Endobronchial Tumours
• Tracheomalacia
• Airway Stricture (due to benign and malignant causes)
• Compressed Airways
• Congenital Airway Stenosis
• Fibrosing Mediastinitis
• Recurrent Respiratory Papillomatosis
• Granulomatosis with Polyangiitis (Wegener's Granulomatosis)
• Relapsing Polychondritis

Are You a Candidate For Interventional Pulmonology Treatment?

A patient suffering from chronic respiratory problems requires instant attention and comprehensive evaluations. Our unit offers comprehensive treatment for conditions such as:

• Chronic cough
• Coughing up blood (hemoptysis)
• Abnormal chest X-rays
• Lung and Chest Cancer
• Pleural effusion (Liquid around the lungs)
• Persistent respiratory failure (requiring tracheostomy placement and management)

A doctor might recommend minimally invasive surgery as a treatment for the conditions mentioned earlier.

What Are The Different Treatment Procedures Involved In Interventional Pulmonology?

Some of the progressive and advanced treatment options that come under Interventional Pulmonology involve:

Flexible bronchoscopy is a video-assisted interventional pulmonology procedure that involves the use of a flexible endoscope (bronchoscope) for Transbronchial Lung Biopsy (TBLB)/ Transbronchial Needle Aspiration (TBNA)/ foreign body removal/ diagnostic and Therapeutic Interventions. The pulmonologist advances the bronchoscope with a camera on its top through each lung's airways to diagnose the problem. The camera displays images from inside the lung on a video screen, using which a doctor can perform several other interventional pulmonology procedures, such as:

• • Bronchoscopic Electrocautery: It involves the use of various instruments like Hot Forceps, Snare, Knife powered by cautery that passes through a bronchoscope in the lungs and is used for diagnosing and treating endobronchial (within the airways) obstructive lesions such as benign tumours, tracheobronchial stenosis, lung cancers, and subglottic stenosis.
  • Bronchoscopic Argon Plasma Coagulation (APC): The application involves the use of heat produced by argon gas to coagulate tissue near the tumour, without touching the tumour.
  • Bronchoscopic Cryotherapy: It is a procedure that involves the use of extreme sub-degree temperature to ablate remove granulation tissue from stents or anastomoses, malignant airway tumours, and treat a variety of benign disorders.
  • Bronchoscopic Thermoplasty: It is an interventional pulmonology procedure used to treat severe asthma cases that can’t be controlled through medication. A doctor applies a heat probe to the airways' walls, thereby destroying the smooth muscle layers whose constriction is causing asthma symptoms.
  • Bronchoscopic Laser Ablation: The application is used to remove trachea-bronchial tumours, trachea-bronchial stenosis, and subglottic stenosis using a laser beam with a high degree of precision.
  • Tracheobronchial Stenting: This procedure involves the use of a stent that is placed inside the airway via a bronchoscope to keep them open. The obstruction in the airways can be caused by cancers or benign diseases like tracheal, subglottic stenosis, and trachea-oesophageal fistula.
• Rigid Bronchoscopy:

It is specially designed for patients who are not amenable for fibre optic bronchoscopy. It is used for diagnostic and therapeutic purposes, including tumour removal, foreign body removal, and stenting.

• Pleural Aspiration:

In this procedure, the fluid accumulated outside the lungs in the chest cavity is removed using a cannula/needle for therapeutic benefit or diagnosis of pleural diseases

• Pleurodesis:

It is a technique that is performed over people who have the problem of recurrent pleural effusions (fluid around the lungs). A doctor inserts a small tube inside a chest cavity and sprays an irritating chemical around the lungs. Over time the inflamed lung lining (pleura) sticks tightly to the chest wall, thereby preventing fluid from accumulating around the lung.

• Medical Thoracoscopy / Pleuroscopy:

It is a procedure used to diagnose some conditions of the pleura (lining of the lungs). The pleural space (inside the chest) is examined using a thoracoscope/ pleuroscope. It allows the view of edges outside the lungs, which is not possible with bronchoscopy.

• Pulmonary Hypertension:

It involves the diagnosis and management of high blood pressure that affects the arteries in your lungs and the right side of your heart, including right heart catheterization (PA Catheter).