Abstract
This chapter outlines the development of interventional pulmonology over the last three decades beginning with the introduction of the Nd:YAG laser for use in therapeutic bronchoscopy. Mention will be made of early pioneers who set the stage for modern interventional pulmonology. The chapter reviews the current scope of practice of interventional pulmonology with emphasis on newer bronchoscopy techniques for diagnosis and staging of thoracic malignancy. The current status of training in interventional pulmonology will be discussed along with issues regarding credentialing and the need for a formal 1-year interventional pulmonology fellowship.
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References
Mathur PN, Beamis J. Preface. In: Mathur PN, Beamis J, editors. Interventional pulmonology. Chest Clinics of North America. London: Saunders; 1995. p. ix–xii.
Bolliger CT, Mathur PN, Beamis JF, Becker HD, Cavaliere S, Colt H, et al. ERS/ATS statement on interventional pulmonology. European Respiratory Society/American Thoracic Society. Eur Respir J. 2002;19:356–73.
Tyson EB. The development of the bronchoscope. J Med Soc N J. 1957;54:26–30.
Jackson C. Bronchoscopy: past, present and future. N Engl J Med. 1928;199:759–63.
Zolliner F. Gustav Killian: father of bronchoscopy. Arch Otolaryngol. 1965;82:656–9.
Ikeda S. Flexible bronchofiberscope. Ann Otol Rhinol Laryngol. 1970;79:916–23.
Rand IA, Barber PV, Goldring J, et al. British Thoracic Society guidelines for advanced diagnostic and therapeutic flexible bronchoscopy in adults. Thorax. 2011;66 Suppl 3:iii1–21.
Yankauer S. Two cases of lung tumor treated bronchoscopically. N Y Med J. 1922;1922:741–2.
Gorenstein A, Neel HB, Sanderson DR. Transbronchoscopic cryosurgery of respiratory strictures. Experimental and clinical studies. Ann Otol Rhinol Laryngol. 1976;85:670–8.
Carpenter RJ, Neel HB, Sanderson DR. Cryosurgery of bronchopulmonary structures. An approach to lesions inaccessible to the rigid bronchoscope. Chest. 1977;72:279–84.
Hooper RG, Jackson FN. Endobronchial electrocautery. Chest. 1985;87:712–4.
Hooper RG, Jackson FN. Endobronchial electrocautery. Chest. 1988;94:595–8.
Laforet EG, Berger RL, Vaughan CW. Carcinoma obstructing the trachea: treatment by laser resection. N Engl J Med. 1976;294:941.
Jacobaeus HC. U¨ ber die Mo¨glichkeit, die Zystoskopie bei Untersuchung sero¨ser Ho¨hlungen anzuwenden.Mu¨nch med Wschr 1910;57:2090–92.
Seijo LM, Sterman DH. Interventional pulmonology. N Engl J Med. 2001;344:740–9.
Hoksch B, Birken-Bertsch H, Muller JM. Thoracoscopy before Jacobaeus. Ann Thorac Surg. 2002;74:1288–90.
Swierenga J, Wagenaar JPM, Bergstein PGM. The value of thoracoscopy in the diagnosis and treatment of diseases affecting the pleura and lung. Pneumonologie. 1974;151:11–8.
Mathur PN, Boutin C, Loddenkemper R. Medical thoracoscopy: techniques and indications in pulmonary medicine. J Bronchol Intervent Pulmonol. 1994;1:228–38.
Toty L, Persone C, Colchen A, Vourc’h G. Bronchoscopic management of tracheal lesions using the neodynium yttrium aluminium garnet laser. Thorax. 1981;36:175–8.
Dumon JF, Reboud E, Garbe L, et al. Treatment of tracheobronchial lesions by laser photoresection. Chest. 1982;81:278–84.
Cavaliere S, Foccoli P, Farina PL. Nd:YAG laser bronchoscopy: a five year experience with 1,396 applications in 1000 patients. Chest. 1988;94:15–21.
McDougall JC, Cortese DA. Neodynium YAG laser therapy of malignant airway obstruction: a preliminary report. Mayo Clin Proc. 1983;58:35–9.
Gelb AF, Epistein JD. Laser treatment of lung cancer. Chest. 1984;86:662–6.
Kvale PA, Eichenhorn MS, Radke JA, Mika V. YAG laser photoresection of lesions obstructing the central airways. Chest. 1985;87:283–8.
Beamis JF, Vergos KV, Rebeiz EE, Shapshay SM. Endoscopic laser therapy for obstructing tracheobronchial lesions. Annals Otol Rhinol Laryngol. 1991;100:413–9.
Dumon JF, Shapshay S, Bourcereau J, et al. Principles for safety in application of neodymium-YAG laser in bronchology. Chest. 1984;86:163–8.
Cortese DA. Rigid versus flexible bronchoscopy in laser bronchoscopy: Pro rigid bronchoscopic laser application. J Bronchol. 1994;1:72–5.
Joyner LR, Maran AG, Sarama R, Yakaboski A. Neodymium-YAG laser treatment of intrabronchial lesions: a new mapping technique via the flexible fiberoptic bronchoscope. Chest. 1985;87:418427.
Unger M. Rigid versus flexible bronchoscopy in laser bronchoscopy: pro flexible bronchoscopic laser application. J Bronchol. 1994;1:69–71.
Lo TCM, Girschovich L, Lealey GA, Beamis JF, Webb-Johnson DC, Villanueva AG, et al. Low dose rate vs. high dose rate intraluminal brachytherapy for malignant endobronchial tumors. Radiother Oncol. 1995;35:193–7.
Dumon JF. A dedicated tracheobronchial stent. Chest. 1990;97:328–32.
Diaz-Jimenez JP, Munoz EF, Ballarin JIM, et al. Silicone stents in the management of obstructive tracheobronchial lesions: 2-year experience. J Bronchol. 1994;1:15–8.
Dasgupta A, Dolmatch BL, AbipSaleh WJ, et al. Self-expandable metallic airway stent insertion employing flexible bronchoscopy: preliminary results. Chest. 1998;114:106–9.
Susanto I, Peters JI, Levine SM, et al. Use of balloon-expandable metallic stents in the management of bronchial stenosis and bronchomalasia after lung transplantation. Chest. 1998;114:1330–5.
Miyazawa T, Yamakido M, Ikeda S, et al. Implantation of ultraflex nitinol stents in malignant tracheobronchial stenosis. Chest. 2000;118:958–65.
Gerasin VA, Shafirovsky BB. Endobronchial electrocautery. Chest. 1988;93:270–4.
Van Boxem T, Muller M, Venmans B, et al. Nd:YAG laser vs. bronchoscopic electrocautery for palliation of symptomatic airway obstruction: a cost effective study. Chest. 1999;116:1108–12.
Coulter, Mehta AC. The heat is on: impact of endobronchial electrosurgery on the need for Nd:YAG laser photoresection. Chest. 2000;118:516–21.
Homasson JF, Renault P, Angebault M, et al. Bronchoscopic cryotherapy for airway strictures caused by tumors. Chest. 1988;90:159–64.
Vergnon JM, Schmitt T, Alamartine E, et al. Initial combined cryotherapy and irradiation for unresectable non-small cell lung cancer: preliminary results. Chest. 1992;102:1436–40.
Mathur PN, Wolf KM, Busk MF, et al. Fiberoptic bronchoscopic cryotherapy in the management of tracheobronchial obstruction. Chest. 1996;110:718–23.
Crosta C, Spaggiari L, DeStefano A, Fiori G, Ravizza D, Pastorino U. Endoscopic argon plasma coagulation for palliative treatment of malignant airway obstructions: early results in 47 cases. Lung Cancer. 2001;33:75–80.
Morice RC, Ece T, Ece F, Keus L. Endobronchial argon plasma coagulation for treatment of hemoptysis and neoplastic airway obstruction. Chest. 2001;119:781–7.
Menzies R, Charbonneau M. Thoracoscopy for the diagnosis of pleural disease. Ann Intern Med. 1991;114:271–6.
Boutin C, Viallat JR, Aelony Y. Practical thoracoscopy. Berlin; Heidelberg; New York: Springer; 1991.
Brandt HJ, Loddenkemper R, Mai J. Atlas of diagnostic thoracoscopy indications—Technique. New York: Thieme; 1985.
Lewis JW. Thoracoscopy: a surgeon’s or pulmonologist’s domain: pro-pulmonologist. J Bronchol. 1994;1:152–4.
Faber LP. Thoracoscopy: a surgeon’s or pulmonologist’s domain: pro-surgeon. J Bronchol. 1994;1:155–9.
Palcic B, Lam S, Hung J, MacAulay C. Detection and localization of early lung cancer by imaging techniques. Chest. 1991;99:742–3.
Lam S, Kennedy T, Unger M, Miller YE, Gelmont D, Rusch V, et al. Localizarion of bronchial intraepithelial neoplastic lesions by fluorescence bronchoscopy. Chest. 1998;113:696–702.
Hürter T, Hanrath P. Endobronchial sonography: Âfeasibility and preliminary results. Thorax. 1992;47:565–7.
Shannon JJ, Bude RO, Orens JB, Becker FS, Whyte RI, Rubin JM, et al. Endobronchial ultrasound-guided needle aspiration of mediastinal adenopathy. Am J Respir Crit Care Med. 1996;153:1424–30.
Wang K, Brower R, Haponik E, Siegelman S. Flexible transbronchial needle aspiration for staging of bronchogenic carcinoma. Chest. 1983;84:571–6.
Herth F, Becker HD, LoCicero J, Ernst A. Endobronchial ultrasound in therapeutic bronchoscopy. Eur Respir J. 2002;20:118–21.
Miyazu Y, Miyazawa T, Kurimoto N, Iwamoto Y, Kanoh K, Hohno N. Endobronchial ultrasounography in the assessment of centrally located early-stage lung cancer before photodynamic therapy. Am J Respir Crit Care Med. 2002;165:832–7.
Herth FJF, Ernst A, Becker HD. Endobronchial ultrasound-guided transbronchial lung biopsy in solitary pulmonary nodules and peripheral lesions. Eur Respir J. 2002;20:972–4.
Kurimoto N, Miyazawa T, Okimasa S, Maeda A, Oiwa H, Miyazu Y, et al. Endobronchial ultrasonography using a guide sheath increases the ability to diagnose peripheral pulmonary lesions endoscopically. Chest. 2004;126:959–65.
Steinfort DP, Khor YN, Manser RL, Irving LB. Radial probe endobronchial ultrasound for the diagnosis of peripheral lung cancer: systematic review and meta-analysis. Eur Respir J. 2011;37:902–10.
Krasnik M, Vilmann P, Larsen SS, Jacobsen GK. Preliminary experience with a new method of endoscopic transbronchial real time ultrasound guided biopsy for diagnosis of mediastinal and hilar lesions. Thorax. 2003;58:1083–6.
Yasufuku K, Chiyo M, Sekine Y, Chhajed PN, Shibuya K, Iizasa T, et al. Real-time endobronchial ultrasound-guided transbronchial needle aspiration of mediastinal and hilar lymph nodes. Chest. 2004;126:122–8.
Yasufuku K, Nakajima T, Chiyo M, Sekine Y, Shibuya K, Fujisawa T. Endobronchial ultrasonography: current status and future directions. J Thorac Oncol. 2007;2:970–9.
Herth FJF, Krasnik M, Yasufuku K, Rintoul R, Ernst A. Endobronchial ultrasound-guided transbronchial needle aspiration: how I do it. J Bronchol. 2006;13:84–91.
Ernst A, Anantham D, Eberhardt R, Krasnik M, Herth FJF. Diagnosis of mediastinal adenopathy—real-time endobronchial ultrasound guided needle aspiration versus mediastinoscopy. J Thorac Oncol. 2008;3:577–82.
Ernst A, Eberhardt R, Krasnik M, Herth FJF. Efficacy of endobronchial ultrasound-guided transbronchial needle aspiration of hilar lymph nodes for diagnosing and staging cancer. J Thorac Oncol. 2009;4:947–50.
Steinfort DP, Conron M, Tsui A, Pasricha SR, Renwick WEP, Antippa P, et al. Endobronchial ultrasound-guided transbronchial needle aspiration for the evaluation of suspected lymphoma. J Thorac Oncol. 2010;5:804–9.
Navani N, Nankivell M, Woolhouse I, Harrison RN, Munavvar M, Oltmanns U, et al. Endobronchial ultrasound-guided transbronchial needle aspiration for the diagnosis of intrathoracic lymphadenopathy in patients with extrathoracic malignancy: a multicenter study. J Thorac Oncol. 2011;6:1505–9.
Tremblay A, Stather DR, MacEachern P, Khalil M, Field SK. A randomized controlled trial of standard vs. endobronchial ultrasonography-guided transbronchial needle aspiration in patients with suspected sarcoidosis. Chest. 2009;136:340–6.
Navani N, Molyneaux PL, Breen RA, Connell DW, Jepson A, Nankivell M, et al. Utility of endobronchial ultrasound-guided transbronchial needle aspiration in patients with tuberculous intrathoracic lymphadenopathy. Thorax. 2011;66:889–93.
Adams K, Shah PL, Lim E. Test performance of endobronchial ultrasound and transbronchial needle aspiration biopsy for mediastinal staging in patients with lung cancer: systematic review and meta-analysis. Thorax. 2009;64:757–62.
Varela-Lema L, Fernandez-Villar A, Ruano-Ravina A. Effectiveness and safety of endobronchial ultrasound-transbronchial needle aspiration: a systematic review. Eur Respir J. 2009;33:1156–64.
Schwarz Y, Greif J, Becker HD, Ernst A, Mehta A. Real-time electromagnetic navigation bronchoscopy to peripheral lung lesions using overlaid CT images: the first human study. Chest. 2006;129:988–94.
Guildea TR, Mazzone PJ, Karnak D, Meziane M, Mehta AC. Electromagnetic navigation diagnostic bronchoscopy: a prospective study. Am J Respir Crit Care Med. 2006;174:982–9.
Asano F. Virtual bronchoscopic navigation. Clin Chest Med. 2010;31:75–85.
Eberhardt R, Kahn N, Gompelmann D, Schumann M, Heusel CP, Herth FJF. LungPoint—a new approach to peripheral lesions. J Thorac Oncol. 2010;5:1559–63.
Castro M, Rubin AS, Laviolette M, Fiterman J, DeAndrade LM, Shah PL, et al. Effectiveness and safety of bronchial thermoplasty in the treatment of severe asthma: a multicenter, randomized, double-blind, sham-controlled clinical trial. Am J Respir Crit Care Med. 2010;181:116–24.
Wahidi MM, Kraft M. Bronchial thermoplasty for severe asthma. Am J Respir Crit Care Med. 2012;185:709–14.
National Emphysema Treatment Trial Research Group. A randomized trial comparing lung-volume-reduction surgery with medical therapy for severe emphysema. N Engl J Med. 2003;348:2059–73.
Berger RL, DeCamp MM, Criner GJ, Celli BR. Lung volume reduction therapies for advanced emphysema: an update. Chest. 2010;138:407–17.
Beamis JF, Shapshay SM, Setzer S, Dumon JF. Teaching models for Nd:YAG laser bronchoscopy. Chest. 1989;95:1316–8.
Kvale PA. Training in laser bronchoscopy and proposals for credentialing. Chest. 1990;97:983–9.
Pastis NJ, Nietert PJ, Silvestri GA. Variation in training for interventional pulmonary procedures among US pulmonary/critical care fellowships: a survey of fellowship diretors. Chest. 2005;127:1614–21.
Pastis NJ, Nierert PJ, Silvestri GA. Fellows’ perspective of their training in interventional pulmonary procedures. J Bronchol. 2005;12:88–95.
Ernst A, Silvestri GA, Johnstone D. Interventional pulmonary procedures: guidelines from the American College of Chest Physicians. Chest. 2003;123:1693–717.
Gildea TR. Is a dedicated 12-month training program required in interventional pulmonology? Con: dedicated training. J Bronchol. 2004;11:65–6.
Feller-Kopmn D. Is a dedicated 12-month training program required in interventional pulmonology? Pro: dedicated training. J Bronchol. 2004;11:62–4.
Lamb CR, Feller-Kopman D, Ernst A, Simoff MJ, Sterman DH, Wahidi MM, et al. An approach to interventional pulmonary fellowship training. Chest. 2010;137:195–9.
Zias N, Chroneou A, Gonzalez AV, Gray AW, Lamb CR, Riker DR, et al. Changing patterns in interventional bronchoscopy. Respirology. 2009;14:595–600.
DuRand IA, Barber PV, Goldring J, Lewis RA, Mandal S, Munavvar M, et al. British Thoracic Society guideline for advanced diagnostic and Âtherapeutic flexible bronchoscopy. Thorax. 2011;66:iii1–21.
Lee HJ, Malhotra R, Grossman C, Shepherd RW. Initial report of neodymium:yttrium-aluminum-perovskite (Nd:YAP) laser use during bronchoscopy. J Bronchol Intervent Pulmonol. 2011;18:229–32.
Gildea TR, Downie G, Eapen G, Herth F, Jantz M, Freitag L. A prospective multicenter trial of a self-expanding hybrid stent in malignant airway obstruction. J Bronchol. 2008;15:221–4.
Ernst A, Hersh CP, Herth FJF, Thurer R, LoCicero J, Beamis J, et al. A novel Instrument for the evaluation of the pleural space: an experience in 34 patients. Chest. 2002;122:1530–4.
Mohan A, Chandra S, Agarwal D, Naik S, Munavvar M. Utility of semirigid thoracoscopy in the diagnosis of pleural effusions: a systematic review. J Bronchol Intervent Pulmonol. 2010;17:195–201.
Khan MAI, Ambalavanan S, Thomson D, Miles J, Munavvar M. A comparison of the diagnostic yield of rigid and semirigid thoracoscopes. J Bronchol Intervent Pulmonol. 2012;19:98–101.
Janssen JP. Why do you or do not need thoracoscopy. Eur Respir Rev. 2010;19(117):213–6.
Michaud G, Berkowitz DM, Ernst A. Pleuroscopy for diagnosis and therapy for pleural effusions. Chest. 2010;138:1242–6.
Rahman NM, Ali NJ, Brown G, Chapman SJ, Davies RJ, Downer NJ, et al. Local anesthetic thoracoscopy: British Thoracic Society pleural disease guideline 2010. Thorax. 2010;65 Suppl 2:ii54–60.
Islam S, Beamis JF. Autofluorescence bronchoscopy. Minerva Pneumol. 2005;44:1–16.
Sutedja TG, Venmans BJ, Smit EF, Postmus PE. Fluorescence bronchoscopy for early detection of lung cancer: a clinical perspective. Lung Cancer. 2001;34:157–68.
National Lung Cancer Screening Trial Research Team. Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med. 2011;365:395–409.
Bulman W, Saqi A, Powell CA. Acquisition and processing of endobronchial ultrasound-guided transbronchial needle aspiration specimens in the era of targeted lung cancer chemotherapy. Am J Respir Crit Care Med. 2012;185:606–11.
Colt HG. Development and organization of an interventional department. Respirology. 2010;15:887–9.
Shah PL, Slebos DJ, Cardoso PF, et al. Bronchoscopic lung-volume reduction with exhale airway stents for emphysema (EASE trial): randomised, sham-Âcontrolled, multicentre trial. Lancet. 2011;378(9795):997–1005.
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Beamis, J.F., Mathur, P.M. (2013). Interventional Pulmonology: Current Status and Future Direction. In: Mehta, A., Jain, P. (eds) Interventional Bronchoscopy. Respiratory Medicine, vol 10. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-395-4_1
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