Recent Advances in Interventional Pulmonology

Ann Am Thorac Soc. 2019 Jul;16(7):786-796. doi: 10.1513/AnnalsATS.201901-044CME.


The field of interventional pulmonology has grown rapidly since first being defined as a subspecialty of pulmonary and critical care medicine in 2001. The interventional pulmonologist has expertise in minimally invasive diagnostic and therapeutic procedures involving airways, lungs, and pleura. In this review, we describe recent advances in the field as well as up-and-coming developments, chiefly from the perspective of medical practice in the United States. Recent advances include standardization of formalized training, new tools for the diagnosis and potential treatment of peripheral lung nodules (including but not limited to robotic bronchoscopy), increasingly well-defined bronchoscopic approaches to management of obstructive lung diseases, and minimally invasive techniques for maximizing patient-centered outcomes for those with malignant pleural effusion.

Keywords: bronchoscopy; interventional pulmonology; pleural disease.

Publication types

  • Review

MeSH terms

  • Airway Obstruction / etiology
  • Airway Obstruction / surgery
  • Airway Obstruction / therapy*
  • Asthma / therapy
  • Bronchoscopes
  • Bronchoscopy / instrumentation*
  • Cryosurgery
  • Electrocoagulation
  • Emphysema / therapy
  • Endosonography / instrumentation
  • Humans
  • Image-Guided Biopsy
  • Laser Therapy
  • Lung Diseases / diagnosis*
  • Lung Diseases / therapy*
  • Lung Neoplasms / diagnosis
  • Lung Neoplasms / therapy
  • Pleural Effusion, Malignant / therapy
  • Pleurodesis
  • Pulmonary Medicine / trends*
  • Pulmonologists / education
  • Stents
  • United States