Interventional Pulmonology 2012

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INTERVENTIONAL PULMONOLOGYAND LUNG CANCER• Diagnosis• Staging• Airways obstruction• Stump dehiscence• Malignant pleuraleffusions• Tracheoesophagealfistulas• Therapy of earlyendobronchial disease
STAGING• The purpose of staging is todefine homogenous groupsof patients that are distinctfrom one another• Recommend therapy• Compare treatment results• Assess outcomes• Staging changes 2009 Rusch. J Thor Onc 2009
Page 1 and 2: INTERVENTIONAL PULMONOLOGYFOR LUNG
Page 3 and 4: THE HUMAN LUNG• 22-24 generations
Page 5: LUNG CANCER MORTALITY: WOMEN
Page 9 and 10: WHITE LIGHT BRONCHOSCOPYSuperficial
Page 11 and 12: FLUOROPHORES / AUTOFLUORESCENCE•
Page 13: MICROINVASIVE CARCINOMAWhite LightA
Page 16 and 17: CROSS SECTIONAL ANATOMY
Page 18 and 19: EBUS - ANATOMYMichael J. Simoff, M.
Page 20 and 21: ENDOBRONCHIAL ULTRASOUND• Evaluat
Page 22 and 23: EBUS and AIRWAYS
Page 24 and 25: TUMOR INVASION OR IMPRESSION
Page 26 and 27: CURRENT USE OF TBNA• 11.8% routin
Page 28 and 29: EBUS GUIDED TBNA
Page 31 and 32: EBUS-TBNA at HFH• Last 30 EBUS-TB
Page 33 and 34: THE SOLITARY PULMONARY NODULEX-ray
Page 35 and 36: TRANSBRONCHIAL BIOPSY OF SPN• Per
Page 37 and 38: CT FLUOROSCOPYInvasive Poorly Diffe
Page 39 and 40: PERIPHERALULTRASOUND
Page 41 and 42: NAVIGATIONLocatable Guide
Page 44 and 45: Michael J. Simoff, M.D.
Page 46 and 47: BRONCHOSCOPY FORSOLITARY PULMONARY
Page 49 and 50: THERAPEUTICS - BENIGN DISEASE• Tr
Page 51: AIRWAY OBSTRUCTIONINTRINSIC EXTRINS
Page 54 and 55: THERAPEUTIC TECHNIQUES• Silastic
Page 56 and 57:
RIGID BRONCHOSCOPY
Page 58 and 59:
LASER• 84-92% symptom palliation
Page 61 and 62:
ELECTROCAUTERY• Monopolar highfre
Page 64:
ARGON PLASMA COAGULATION• Ionized
Page 67 and 68:
CRYOTHERAPY• Tissue destruction a
Page 70 and 71:
PHOTODYNAMIC THERAPY24-36 hours48 h
Page 72 and 73:
STENTING• Exchange one chroniccon
Page 74 and 75:
SILASTIC STENTS• Removable• No
Page 76 and 77:
METALLIC STENTS• Favorable wall/i
Page 78 and 79:
RUSCH-Y STENT• Hybrid- Silicone-
Page 80 and 81:
BALLOON DILATATION• Rigid broncho
Page 82 and 83:
• Endobronchialadhesive• Used f
Page 84 and 85:
MEDICAL THORACOSCOPY• 67 Year old
Page 86 and 87:
MULTIMODALITY THERAPYMost disorders
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MULTIMODALITY THERAPY:ENDOBRONCHIAL
Page 90 and 91:
THE FUTURE
Page 92 and 93:
SOLITARY PULMONARY NODULES
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THE FUTURE:THE WAY WE SEE THINGS•
Page 96 and 97:
CONFOCAL MICROENDOSCOPY• Blue lig
Page 98 and 99:
Tomophase Optical Tissue Analyzer I
Page 100 and 101:
ElectrosurgeryMetal StentsRigid Bro
Page 102 and 103:
DIAGNOSTIC INTERVENTIONAL PULMONOLO
Page 104 and 105:
LASER• Light amplification bystim
Page 106 and 107:
BRONCHOSCOPIC TREATMENTSFOR EMPHYSE
Page 108:
FUTURE
Page 111:
CONTACT INFORMATIONMichael Simoff,
Page 114 and 115:
RADIOLOGY FOR BENIGN DISEASEInspira
Page 116 and 117:
EBUS AND THE DIAGNOSIS OF CANCERDis
Page 118 and 119:
GENE THERAPYDan Sterman, MD
Page 120 and 121:
STAGING - TNMMountain, Dresler. Che
Page 122 and 123:
ANATOMIC CHANGES INPREINVASIVE LUNG
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BRACHYTHERAPY• 20-40 Gy delivered
Page 126 and 127:
COPD• Emphysema, chronicbronchiti
Page 128 and 129:
ENDOBRONCHIAL LUNG VOLUMEREDUCTION
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DOES IT WORK?1.41.210.80.60.40.200.
Page 133 and 134:
• Emphysus / PulmonXCLINCAL TRIAL
Page 135 and 136:
INFLAMMATORY CASCADE-switchB lympho
Page 137 and 138:
BRONCHIAL THERMOPLASTY• Bronchial
Page 139 and 140:
BRONCHIAL THERMOPLASTY• Methachol
Page 141 and 142:
AIR2 TrialObjective- To demonstrate
Page 143:
CURRENT STATUS OF BRONCHIALTHERMOPL
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