Semin Respir Crit Care Med 2014; 35(06): 763-768
DOI: 10.1055/s-0034-1395506
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Future of Interventional Pulmonology

Sixto Arias
1   Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland
Hans J. Lee
1   Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland
› Author Affiliations
Further Information

Publication History

Publication Date:
02 December 2014 (online)


Interventional pulmonology (IP) is a maturing subspecialty of pulmonary medicine focused on advanced diagnostic and therapeutic pulmonary and thoracic medical procedures for a variety of illnesses. This rapidly growing field requires highly specific knowledge and skill sets beyond its parent specialty. While the future of IP will continue to show growth, we postulate on a few upcoming technologies which may influence the field and discuss some of the challenges associated with growth in IP.

  • References

  • 1 Sterman D. A remarkable time for the American Association for Bronchology and Interventional Pulmonology. J Bronchology Interv Pulmonol 2012; 19 (4) 265-267
  • 2 Krochmal R, Arias S, Yarmus L, Feller-Kopman D, Lee H. Diagnosis and management of pulmonary nodules. Expert Rev Respir Med 2014; Aug 23: 1-15
  • 3 Lee CM, Engelbrecht CJ, Soper TD, Helmchen F, Seibel EJ. Scanning fiber endoscopy with highly flexible, 1 mm catheterscopes for wide-field, full-color imaging. J Biophotonics 2010; 3 (5-6) 385-407
  • 4 Lusch A, Bucur PL, Menhadji AD , et al. Evaluation of the impact of three-dimensional vision on laparoscopic performance. J Endourol 2014; 28 (2) 261-266
  • 5 Gallagher AG, Seymour NE, Jordan-Black JA, Bunting BP, McGlade K, Satava RM. Prospective, randomized assessment of transfer of training (ToT) and transfer effectiveness ratio (TER) of virtual reality simulation training for laparoscopic skill acquisition. Ann Surg 2013; 257 (6) 1025-1031
  • 6 Korndorffer Jr JR, Dunne JB, Sierra R, Stefanidis D, Touchard CL, Scott DJ. Simulator training for laparoscopic suturing using performance goals translates to the operating room. J Am Coll Surg 2005; 201 (1) 23-29
  • 7 Seymour NE, Gallagher AG, Roman SA , et al. Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 2002; 236 (4) 458-463 , discussion 463–464
  • 8 Stefanidis D, Scerbo MW, Montero PN, Acker CE, Smith WD. Simulator training to automaticity leads to improved skill transfer compared with traditional proficiency-based training: a randomized controlled trial. Ann Surg 2012; 255 (1) 30-37
  • 9 Price J, Naik V, Boodhwani M, Brandys T, Hendry P, Lam BK. A randomized evaluation of simulation training on performance of vascular anastomosis on a high-fidelity in vivo model: the role of deliberate practice. J Thorac Cardiovasc Surg 2011; 142 (3) 496-503
  • 10 Kennedy CC, Maldonado F, Cook DA. Simulation-based bronchoscopy training: systematic review and meta-analysis. Chest 2013; 144 (1) 183-192
  • 11 Droiders USA. MedicAR–Surgical Glassware with Augmented Reality at Stanford University Medical Center. Available at: . Accessed 2014
  • 12 MITK pille—Mobile medical augmented reality app for the Apple iPad. Available at: . Accessed 2012
  • 13 Babiak A, Hetzel J, Krishna G , et al. Transbronchial cryobiopsy: a new tool for lung biopsies. Respiration 2009; 78 (2) 203-208
  • 14 Pajares V, Puzo C, Castillo D , et al. Diagnostic yield of transbronchial cryobiopsy in interstitial lung disease: a randomized trial. Respirology 2014; 19 (6) 900-906
  • 15 Yarmus L, Akulian J, Gilbert C , et al. Cryoprobe transbronchial lung biopsy in patients after lung transplantation: a pilot safety study. Chest 2013; 143 (3) 621-626
  • 16 Schuhmann M, Bostanci K, Bugalho A , et al. Endobronchial ultrasound-guided cryobiopsies in peripheral pulmonary lesions: a feasibility study. Eur Respir J 2014; 43 (1) 233-239
  • 17 Kong K, Yim S, Choi S, Jeon D. A robotic biopsy device for capsule endoscopy. J Med Device 2012; 6
  • 18 Tsuboi M, Hayashi A, Ikeda N , et al. Optical coherence tomography in the diagnosis of bronchial lesions. Lung Cancer 2005; 49 (3) 387-394
  • 19 Sorokina A, Danilevskaya O, Averyanov A , et al. Comparative study of ex vivo probe-based confocal laser endomicroscopy and light microscopy in lung cancer diagnostics. Respirology 2014; 19 (6) 907-913
  • 20 Kumagai Y, Monma K, Kawada K. Magnifying chromoendoscopy of the esophagus: in-vivo pathological diagnosis using an endocytoscopy system. Endoscopy 2004; 36 (7) 590-594
  • 21 Dasgupta A, Mehta AC. Transbronchial needle aspiration. An underused diagnostic technique. Clin Chest Med 1999; 20 (1) 39-51
  • 22 Wang KP, Marsh BR, Summer WR, Terry PB, Erozan YS, Baker RR. Transbronchial needle aspiration for diagnosis of lung cancer. Chest 1981; 80 (1) 48-50
  • 23 Wang KP, Terry PB. Transbronchial needle aspiration in the diagnosis and staging of bronchogenic carcinoma. Am Rev Respir Dis 1983; 127 (3) 344-347
  • 24 Xiang Y, Zhang F, Akulian J, Yarmus L, Feller-Kopman D, Wang KP. EBUS-TBNA by a new Fuji EBUS scope (with video). J Thorac Dis 2013; 5 (1) 36-39
  • 25 Ophir J, Céspedes I, Ponnekanti H, Yazdi Y, Li X. Elastography: a quantitative method for imaging the elasticity of biological tissues. Ultrason Imaging 1991; 13 (2) 111-134
  • 26 Ying L, Hou Y, Zheng HM, Lin X, Xie ZL, Hu YP. Real-time elastography for the differentiation of benign and malignant superficial lymph nodes: a meta-analysis. Eur J Radiol 2012; 81 (10) 2576-2584
  • 27 Narsule CK, Sales Dos Santos R, Gupta A , et al. The efficacy of electromagnetic navigation to assist with computed tomography-guided percutaneous thermal ablation of lung tumors. Innovations (Phila) 2012; 7 (3) 187-190
  • 28 Hohenforst-Schmidt W, Zarogoulidis P, Vogl T , et al. Cone Beam Computertomography (CBCT) in Interventional Chest Medicine - High Feasibility for Endobronchial Realtime Navigation. J Cancer 2014; 5 (3) 231-241
  • 29 Darwiche K, Zarogoulidis P, Krauss L , et al. “One-stop shop” spectral imaging for rapid on-site diagnosis of lung cancer: a future concept in nano-oncology. Int J Nanomedicine 2013; 8: 4533-4542
  • 30 Ghazani AA, Pectasides M, Sharma A , et al. Molecular characterization of scant lung tumor cells using iron-oxide nanoparticles and micro-nuclear magnetic resonance. Nanomedicine (Lond Print) 2014; 10 (3) 661-668
  • 31 Zhu GH, Ng AH, Venkatraman SS , et al. A novel bioabsorbable drug-eluting tracheal stent. Laryngoscope 2011; 121 (10) 2234-2239
  • 32 Chao YK, Liu KS, Wang YC, Huang YL, Liu SJ. Biodegradable cisplatin-eluting tracheal stent for malignant airway obstruction: in vivo and in vitro studies. Chest 2013; 144 (1) 193-199
  • 33 Lischke R, Pozniak J, Vondrys D, Elliott MJ. Novel biodegradable stents in the treatment of bronchial stenosis after lung transplantation. Eur J Cardiothorac Surg 2011; 40 (3) 619-624
  • 34 Vondrys D, Elliott MJ, McLaren CA, Noctor C, Roebuck DJ. First experience with biodegradable airway stents in children. Ann Thorac Surg 2011; 92 (5) 1870-1874
  • 35 Zopf DA, Hollister SJ, Nelson ME, Ohye RG, Green GE. Bioresorbable airway splint created with a three-dimensional printer. N Engl J Med 2013; 368 (21) 2043-2045
  • 36 Zopf DA, Flanagan CL, Wheeler M, Hollister SJ, Green GE. Treatment of severe porcine tracheomalacia with a 3-dimensionally printed, bioresorbable, external airway splint. JAMA Otolaryngol Head Neck Surg 2014; 140 (1) 66-71
  • 37 Hautmann H, Gamarra F, Pfeifer KJ, Huber RM. Fiberoptic bronchoscopic balloon dilatation in malignant tracheobronchial disease: indications and results. Chest 2001; 120 (1) 43-49
  • 38 Mayse ML, Greenheck J, Friedman M, Kovitz KL. Successful bronchoscopic balloon dilation of nonmalignant tracheobronchial obstruction without fluoroscopy. Chest 2004; 126 (2) 634-637
  • 39 Spiliopoulos S, Diamantopoulos A, Katsanos K, Ravazoula P, Karnabatidis D, Siablis D. PolarCath cryoplasty enhances smooth muscle cell apoptosis in a rabbit iliac artery model: an experimental in vivo controlled study. Cryobiology 2011; 63 (3) 267-272
  • 40 Lee HJ, Shojaee S, Sterman DH. Endoscopic lung volume reduction. An American perspective. Ann Am Thorac Soc 2013; 10 (6) 667-679
  • 41 Lee HJ, Yarmus L, Kidd DA , et al. Comparison of Pleural Pressure Measuring Instruments. Chest 2014;
  • 42 Shojaee S, Voelkel N, Farkas L, de Wit M, Lee HJ. Transforming growth factor-β1 rise in pleural fluid after tunneled pleural catheter placement: pilot study. J Bronchology Interv Pulmonol 2013; 20 (4) 304-308
  • 43 Tremblay A, Dumitriu S, Stather DR, Maceachern P, Illanes O, Kelly MM. Use of a drug eluting pleural catheter for pleurodesis. Exp Lung Res 2012; 38 (9-10) 475-482
  • 44 Du N, Li X, Li F , et al. Intrapleural combination therapy with bevacizumab and cisplatin for non-small cell lung cancer–mediated malignant pleural effusion. Oncol Rep 2013; 29 (6) 2332-2340