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Interventional Pulmonology

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Provider using a cardiograph machine

Monarch Robotic Bronchoscopy

With the Monarch Bronchoscopy System, our team is able to perform lung endoscopies with more control and precision than ever before, and can diagnose small, hard-to-reach nodules in the periphery of the lung. This lets us treat cancer in its earliest stages, when treatment is most likely to be successful.

One of the newest internal medicine subspecialties, interventional pulmonology uses sophisticated, pioneering technology to diagnose and treat problems in the lungs and airway. Less invasive than surgery, these procedures are often the first line of action against airway problems including tumors, fluid buildup, bleeding and any abnormality that causes discomfort or blocks the free movement of air.

Amit Borah, M.D., AtlantiCare Regional Medical Center’s interventional pulmonologist works hand-in-hand with Vincent Lotano, M.D., AtlantiCare Medical Director of Thoracic Surgery. Using a tiny camera and miniature tools, they use a team approach to examine problems up close, helping patients breathe easier and feel better.

Treatments

  • Bronchoscopy: A bronchoscopy lets your doctor examine your lungs. A thin, lighted tube (bronchoscope) is inserted through the mouth or nose and maneuvered through the throat and into your airways. Bronchoscopy is used to help diagnose and treat lung disease including bacterial infections, fungal infections and cancer.
  • Pleural catheters: The pleura is a thin tissue that surrounds your lungs and lines your chest cavity. If there is a buildup of fluid in the pleura, it can lead to a shortness of breath that is relieved by draining the fluid. When this recurs, a pleural catheter can be inserted to relieve pressure. It is a soft silicone tube that patients can use to drain fluid as needed.
  • Pleuroscopy: A pleuroscopy is used to examine or treat the pleura, the thin tissue surrounding your lungs and lining the chest cavity. It is used to take a biopsy, drain fluid, place a catheter or put medicine in the pleura to prevent fluid buildup.
  • Thoracentesis: When fluid collects in the pleura, the thin tissue surrounding your lungs, a thoracentesis is used to drain it. In a thoracentesis, a needle is inserted into the pleura, the space between the lungs and the chest wall. It takes 10-15 minutes to complete, and patients are generally awake while it is performed.