Interventional Pulmonology

Questions discussed in this category

How do you manage anticoagulation/antiplatelet therapies with strong indications for uninterrupted therapy in setting of urgent procedures?

For example, anticoagulation for recent, significant PE or dual antiplatelet therapy for recent MI, but requiring urgent procedures such as biopsy of ...

3 Answers available

What is your experience with transesophageal lung mass biopsies?

A patient had a mass in a location that is difficult to biopsy both bronchoscopically and percutaneously.

2 Answers available

What is your approach to the management of persistent hydropneumothorax due to a non expandable lung?

1 Answer available

What factors prompt you to consider revision vs removal of endobronchial valves in patients who do not develop atelectasis after BLVR?

1 Answer available

Do you have any strategies for increasing yield while doing bronchoscopic biopsy with EBUS?

4 Answers available

Do you have any strategies to increase yield while doing a BAL?

2 Answers available

Do you have any tips for effectively performing EBUS with biopsy at the 4L lymph node station?

1 Answer available

Do you use hypercapnia as an exclusion criteria in all patients that are being assessed for bronchoscopic lung volume reduction?

1 Answer available

What is your preferred forceps size for transbronchial biopsies, considering options ranging from 1.8 to 2.8mm?

1 Answer available

Is there any role for prophylactic bronchial artery embolization in immunocompromised patients with invasive pulmonary aspergillosis?

1 Answer available

Do you hold anticoagulation prior to performing bronchoalveolar lavage?

1 Answer available

How do you mitigate risk when performing bronchoscopy in hypoxic patients requiring high levels of supplemental oxygen?

Is there a threshold amount of oxygen above which you would avoid bronchoscopy?

2 Answers available

How do you decide between oral vs nasal route of entry for bronchoscopy with BAL with moderate sedation?

4 Answers available

How many proctored robotic assisted bronchoscopies does it take to become proficient at it?

Any relevant noteworthy publications looking at this would be appreciated as well.

1 Answer available

How small of a nodule would you attempt to biopsy with robotic bronchoscopy?

1 Answer available

How do you approach the bronchoscopic evaluation of a cavitary lesion of the lung?

Do you routinely perform transbronchial biopsies in addition to BAL in all cases?

1 Answer available

Would a metal endobronchial stent within the treatment field change your radiation treatment plan for a thoracic malignancy?

1 Answer available

How would you approach a pulmonary-renal PR3+ ANCA vasculitis patient who has persistent re-narrowing of mainstem bronchus after several dilatation and stenting procedures, with other anca features well-controlled on rituximab & avacopan?

5 Answers available

Would you consider deferring chest tube placement in a clinically stable patient with a small empyema without signs of systemic infection?

2 Answers available

Is a larger bore percutaneous chest tube sufficient to adequately drain a hemothorax, or is a surgical chest tube required?

1 Answer available

What is your approach to the evaluation and management of a suspected intrapulmonary hematoma?

1 Answer available

How do you assess the use of Heimlich valves for patients who present with persistent air leaks?

1 Answer available

Do you utilize robotic bronchoscopy to biopsy a lung cavity wall?

1 Answer available

How do you navigate PAP approval for patients with tracheobronchomalacia or excessive dynamic airway collapse who do not have OSA?

1 Answer available

When do you pursue interventional treatments in a lung transplant patient with anastomotic dehiscence complicated by a bronchopleural fistula?

1 Answer available

What is your preferred strategy for controlling bleeding after transbronchial or endobronchial biopsies?

1 Answer available

What therapies do you routinely use to prevent mucus plug formation after endobronchial stent placement?

1 Answer available

How long do you normally wait before considering any bronchoscopic procedure (EBUS-TBNA, Transbronchial biopsy) after an episode of acute PE in a patient needing these procedures?

Normally, waiting 6-12 weeks of therapeutic anticoagulation after an acute PE is suggested for any bronchoscopic procedure, however there is always a ...

1 Answer available

What is your approach towards management of symptomatic broncholithiasis?

What factors do you consider while deciding between bronchoscopic vs surgical management?

1 Answer available

Is an early chest tube and tPA/Dornase therapy for a loculated and complex pleural effusion that is not an empyema or hemothorax helpful in reducing the rate of developing trapped lung?

1 Answer available

How do you define an adequate EBUS when staging NSCLC?

Is there a minimum standard for which stations to sample? Does lymph node size affect your recommendations?

3 Answers available

Do you consider the duration of lung/lobar atelectasis in your decision making while offering airway stents for malignant central airway obstruction?

Are patients with long standing malignant central airway obstruction poor candidates for central airway stents? What is considered to be an acceptable...

1 Answer available

Is there any PFT criteria that you use in guiding decision making to offer transbronchial lung cryobiopsy to patients with interstitial lung disease?

1 Answer available

How do you approach performing EBUS TBNA in patients with latex allergy?

Apart from removing the latex balloon, do you employ any additional technical accommodations?

1 Answer available

Do you perform a clamp trial before removing a chest tube for pneumothorax?

2 Answers available