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Interventional Pulmonology

Interventional Pulmonology

Interventional pulmonology uses endoscopy and other tools to diagnose and treat conditions in the lungs and chest.

Interventional pulmonology procedures include:

  • Thoracentesis - To drain fluid from around the lungs, a doctor inserts a needle into the chest wall. A plastic catheter is advanced over the needle, which is then removed. The excess pleural fluid is suctioned out of the chest and the catheter is removed and discarded.
  • Tracheotomy - A tracheotomy or a tracheostomy is an opening surgically created through the neck into the trachea (windpipe) to allow direct access to the breathing tube and is commonly done in an operating room under general anesthesia. A tube is usually placed through this opening to provide an airway and to remove secretions from the lungs. Breathing is done through the tracheostomy tube rather than through the nose and mouth.
  • Flexible bronchoscopy - During flexible bronchoscopy, a doctor advances a flexible endoscope (bronchoscope) through a person's mouth or nose into the windpipe. The doctor advances the bronchoscope through the airways in each lung, checking for problems. Images from inside the lung are displayed on a video screen. The bronchoscope has a channel at its tip, through which a doctor can pass small tools. Using these tools, the doctor can perform several other interventional pulmonology procedures.
  • Rigid bronchoscopy – During a rigid bronchoscopy, a long metal tube is advanced into a person’s windpipe and main airways. The rigid bronchoscope’s large diameter allows the doctor to use more sophisticated surgical tools and techniques. Rigid bronchoscopy requires general anesthesia (unconsciousness with assisted breathing), similar to a surgical procedure.

To learn more or schedule an appointment, call:

UT Health East Texas Pulmonary Institute at North Campus Tyler at 903-877-7916

UT Health East Texas Pulmonary Institute at S. Fleishel - A department of UT Health Tyler at 903-592-6901

  • Endoscopic laser and stent surgery – Add content.

Providers For Interventional Pulmonology

Leslie A. Couch, MD
Pulmonology (Lung Disease), Cystic Fibrosis, Infectious Lung Diseases

Megan Devine, MD
Pulmonology (Lung Disease), Infectious Lung Diseases, Critical Care Medicine

James Fox, MD
Pulmonology (Lung Disease), Critical Care Medicine

G. David Gass, MD
Pulmonology (Lung Disease), Critical Care Medicine

Steven Idell, MD, PhD
Pulmonology (Lung Disease)

David Jones, MD, FCCP, DABSM
Pulmonology (Lung Disease), Critical Care Medicine, Sleep Medicine

Carla Wang-Kocik, MD
Pulmonology (Lung Disease), Critical Care Medicine, Sleep Medicine

Pamela J. McShane, MD
Pulmonology (Lung Disease), Critical Care Medicine, Infectious Lung Diseases

Varalaxmi Nannaka, MD
Pulmonology (Lung Disease), Critical Care Medicine

Ketan Patel, MBBS, MD, FCCP
Pulmonology (Lung Disease), Critical Care Medicine, Sleep Medicine

Julie V. Philley, MD
Pulmonology (Lung Disease), Infectious Lung Diseases, Cystic Fibrosis, Critical Care Medicine