Advanced Interventional Pulmonology

• Bronchial wash/lavage, TBNA, Fluroscope guided TBLB 
• Cryoprobe lung biopsy -: For diagnosis of various forms of idiopathic interstitial pneumonias  
• Linear EBUS – TBNA -: For sampling of mediastinal lymph nodes and central airway tumours. 
• Radial EBUS -: For sampling of peripheral pulmonary lesions/ drainage of lung abscess) 
• Cone beam CT guided biopsy of lung nodules 
• Paediatric bronchoscopy 

• Airway tumour debulking  
• Airway (Tracheal & bronchial) stenting (for benign and malignant causes) 
• Post Intubation Tracheal stenosis repair. 
• Post TB airway stenosis repair.  
• whole lung lavage for treatment of Pulmonary Alveolar proteinosis  
• Bronchoscopic treatment of Tracheo-Bronchomalacia & Excessive airway dynamic collapse.  
• Bronchoscopic Lung volume reduction for treatment of COPD- Using endobronchial valves. 
• Foreign body removal from the airways (Adult & Paediatric) 
• Bronchial Thermoplasty for treatment of poorly controlled Asthma 

• Medical Thoracoscopy (Flexi-rigid & Rigid) 
• Bronchoscopic management of persistent Broncho-Pleural fistula & Pneumothorax 
• Indwelling pleural catheters for drainage of recurrent pleural effusion 
• Video-assisted thoracoscopic surgery (Thoracic surgical team) 

Dedicated skill lab for training aspiring interventional pulmonologists, fellows & postgraduates in: 

• Flexible Bronchoscopic procedures 
• Rigid Bronchoscopic procedures 
• Linear EBUS 
• Airway Electrosurgery  

Interventional pulmonology is a developing medical sub-specialty from its parent specialty of pulmonary medicine. It deals specifically with minimally invasive Bronchoscopic and Thoracoscopic procedures for diagnosis and treatment of neoplastic as well as non-neoplastic diseases of the airways, lungs, and pleura. 

You should consider consulting with an Interventional pulmonologist if you are suffering from progressive breathlessness, cough, fever, weight loss, haemoptysis (spitting of blood) or in case of any chronic undiagnosed Respiratory ailments. 

The Interventional pulmonology program at Amrita, provides treatment for:   

• Primary lung cancer 
• Cancers that metastasize to the lung 
• Airway obstruction (due to an abnormal growth) 
• Mediastinal and hilar adenopathy 
• Undiagnosed lung nodules and masses 
• Pleural diseases (including effusions or undiagnosed disease) 
• Bronchopleural fistulas 
• Pneumothoraces 
• Diagnosis of Interstitial lung diseases 
• Post TB airway complications. 
• Post Intubation Tracheal stenosis repair. 
• Diagnosis of the cause for non-resolving Pneumonia  
• Diagnosis of occupational lung disorders 
• Tracheobronchomalacia 
• Excessive dynamic airway collapse 
• Bronchoscopic treatment of poorly controlled Asthma  

Bronchoscopy is a procedure that lets doctors look at your lungs and air passages. It's usually performed by a Pulmonologist who specializes in lung disorders. During bronchoscopy, a thin tube (bronchoscope) is passed through your nose or mouth, down your throat and into your lungs. Bronchoscopy is most frequently performed using a flexible bronchoscope. However, in certain situations, such as if there's a lot of bleeding in your lungs or a large object is stuck in your airway, a rigid bronchoscope may be needed. Common reasons for needing bronchoscopy are a persistent cough, infection, or something unusual seen on a chest X-ray or CT scans. Bronchoscopy can also be used to obtain samples of mucus or tissue, to remove foreign bodies or other blockages from the airways or lungs, or to provide treatment for lung problems.