Interventional Pulmonology

Turn to the interventional pulmonology team at Acclaim Physician Group for innovative diagnostic and treatment services for lung conditions. John Peter Smith Hospital is the only location that provides complete interventional pulmonology procedures in Tarrant County.

What’s Interventional Pulmonology (IP)?

Interventional pulmonology (IP) uses minimally invasive techniques to diagnose and treat lung cancer, pleural diseases, and many types of complex airway and lung disorders. Minimally invasive techniques have been proven to reduce pain, blood loss and recovery time as well as minimize trauma to the tissue. Patients often spend less time in the hospital, and are able to return to normal activities faster.

Expert Care

Our experts in pulmonary disease have experience caring for the most serious and complex lung and breathing conditions. You’ll receive nationally recognized care from the only interventional pulmonologist in the Fort Worth area who has fellowship training and is board certified by the American Association of Bronchology and Interventional Pulmonology (AABIP).

When to See an IP Specialist

Ask your primary care provider about IP if you frequently experience:

  • Cough, sore throat, or fever
  • Hoarseness, wheezing, or a harsh vibrating noise when breathing (stridor)
  • Shortness of breath

Conditions We Treat

Get comprehensive respiratory and pulmonary care for:

  • Abnormal Chest X-ray and CT scans of lung
  • Cancer in the Chest
  • Collapse of windpipe (tracheomalacia)
  • COPD
  • Coughing up blood (hemoptysis)
  • Lung cancer
  • Lung nodule or lung mass
  • Swollen lymph nodes (lymphadenopathy)
  • Severe, persistent asthma
  • Endobronchial Tumors
  • Liquid around the lungs (pleural effusion)
  • Fibrosing mediastinitis
  • Carcinoid tumors
  • Airway stricture from benign and malignant causes
  • Recurrent respiratory papillomatosis
  • Relapsing polychondritis
  • Persistent respiratory failure

IP Services

Rest assured knowing we can find signs of breathing problems and treat them as early as possible with our advanced tests and procedures, including:

  • Flexible and Rigid Bronchoscopy – Is used to diagnose and treat airway diseases, including lung infections, airway blockages, and lung cancer.
  • Airway stent placement ( Tracheobronchial stents) – Airway stents are tiny tubes made of silicone or metal used to keep narrowed airways open. Airway stents can either be permanent or removable.
  • Balloon airway dilation – Procedure used to improve airway narrowing caused by tumors, inflammatory conditions, or other diseases.
  • Thermal Ablation Techniques – Argon Plasma Coagulation ( APC), Electrocautery and Nd-YAG laser therapy. Used to treat benign and malignant tumors. Removes tumors and other growths in the airways that causes central airway obstruction.
  • Bronchial Thermoplasty (BT) – Is a treatment for severe asthma that uses gentle heat to open the airways. A small tube is placed inside the bronchoscope and is used to gently heat and shrink the smooth muscles in the lungs that tighten during asthma attacks.
  • Electromagnetic navigational bronchoscopy (ENB) – Is a minimally invasive procedure that uses GPS – like navigation technology to create a 3-D map of the lungs and chest for obtaining tissue samples or targeting lung cancer treatment. Using 3-D map and a thin, flexible navigation tube, specialists can obtain precise tissue samples or insert radio fiducial markers to target radiation to the lung tumors. This procedure helps find lung cancer at earlier stages. ENB is usually performed on an outpatient basis, so patients can go home the same day.
  • Endobronchial ultrasound (EBUS) – Uses ultrasound and a bronchoscope to diagnose and stage lung cancer, infections, and lesions in the airways and lungs. During EBUS, the interventional pulmonologist uses a technique called transbronchial needle aspiration (TBNA) to take tissue samples from the lungs and surrounding lymph nodes without performing surgery.
  • Endobronchial valve placement – Is a small medical device implanted in an airway to treat emphysema and other lung conditions. The valve is placed into a diseased part of the airway during a bronchoscopy.
  • Photodynamic therapy (PDT) – Is a minimally invasive treatment for lung cancer that uses light and drugs, called photosensitizing agents, to kill cancer cancers.
  • Pleuroscopy – Minimally invasive procedure used to examine the pleural cavity, the space between the two layers of tissue inside the lung. The doctor uses a camera to look for problem areas in the pleural cavity and may take tissue or fluid samples.
  • Percutaneous Tracheostomy – Is a procedure that involves opening the front wall of the trachea and inserting a tube for breathing. It is used in patients who are critically ill, and often performed at the patient’s bedside.

Your Care Team

Get the best possible care from a multidisciplinary team that includes:

  • General pulmonologist – Specializes in diseases and conditions that affect the respiratory system
  • Intensivist – Oversees care for people that are critically ill
  • Respiratory therapists – Help provide care for people with trouble breathing
  • Sleep disorder specialist – Diagnoses and treats sleep disorders
  • Pulmonary function technician (PFT) – Assess respiratory functioning and problems
  • Interventional pulmonary coordinator – Coordinates and manages every aspect of care
  • Cardiothoracic surgeon – Does surgery on heart, lungs, and chest
  • Medical and radiation oncologists – Manages care for people with cancer
  • Ear, nose, and throat surgeon – Performs surgery on ear, nose, and throat

Keep Your Lungs Healthy

You can help keep your lungs strong when you:

  • Avoid exposure to indoor and outdoor pollutants like smog and nitrogen dioxide
  • Eat healthy and exercise
  • Don't smoke
  • Get regular health checkups

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