procedures

Procedures

We offer all the traditional pulmonary procedures, in addition to advanced diagnostic and therapeutic procedures performed by our fellowship-trained interventional pulmonologists. While many procedures can be performed in our office, we also have access to a state-of-the-art pulmonary suite at Palmetto Health Richland.

Simple Bronchoscopy

An outpatient procedure performed at Palmetto Health Richland to provide direct visualization of the airways. During this procedure several therapeutic and diagnostic modalities can be employed if needed.

Endobronchial Ultrasound (EBUS)

A specialized bronchoscopy that uses a small ultrasound in the airways to localize central masses and enlarged lymph nodes. By directly visualizing these abnormal areas, the bronchoscopist ensures they are sampling the targeted area in the safest manner. There is an on-site pathologist to review samples for quick diagnosis or to direct more sampling.

Electromagnetic Navigational Bronchoscopy (“Super D Biopsy”)

This is a new, sophisticated technology which increases the diagnostic yield when sampling small, peripheral lung lesions. After acquiring a specialized CT scan, a virtual bronchoscopy is performed using electromagnetic technology to “guide” the interventionalist to the abnormal tissue. This system allows biopsy in previously hard to reach areas and increases diagnostic yield when sampling areas that are not directly visualized.

Thoracentesis

Using direct ultrasound guidance, the clinician can direct a needle or catheter into the chest wall to drain fluid that has collected outside of the lung. This can provide relief of symptoms in addition to lab evaluation of fluid to assess for etiology. We can readily provide this procedure in our office or the outpatient pulmonary suite.

Tunneled Chest Tube

This procedure is offered to some patients with recurrent, symptomatic pleural effusions. An indwelling catheter is placed in the chest to allow patients and families to safely drain fluid as needed in the privacy of his or her home.

Medical Thoracoscopy/Pleuroscopy

A minimally invasive procedure to help diagnose various pleural conditions. A small incision is made in the chest wall to allow insertion of a flexible camera for direct examination of the lung and chest wall. If abnormalities are seen, biopsies can be performed.

Tumor Debulking

The interventionalist can employ various techniques in the pulmonary procedure suite such as electrocautery, balloon dilatation, cryotherapy, and argon plasma coagulator (APC) to reduce tumor burden in an airway. In addition to providing symptomatic relief to the patient, this may help prevent further complications such as lung collapse and frequent infections.

Airway Stents

Our fellowship-trained interventional pulmonologist is an expert in choosing which patients may benefit from an airway stent. After careful consideration of which type of stent is needed, they are skilled at the placement and outpatient management for these artificial airways.