The Program in Interventional Bronchoscopy and Endobronchial Therapy is run jointly by the departments of medicine and surgery at NewYork-Presbyterian Hospital/Columbia University Medical Center. The Program is dedicated to the treatment of patients with endobronchial tumors or tracheobronchial obstructions. The program offers a full range of diagnostic and therapeutic options utilizing either flexible or rigid bronchoscopy for patients with benign or malignant airway pathology.
The Program draws on the full resources of NewYork-Presbyterian/Columbia, including substantial expertise in the divisions of thoracic surgery and pulmonary medicine at Columbia University College of Physicians and Surgeons.
Symptoms of central airway obstruction include shortness of breath, recurrent pneumonias, or coughing up blood. Relief of tracheal or bronchial obstruction can often relieve these symptoms and improve quality of life for patients.
Techniques for diagnosis include:
- Ultrasound guided transbronchial needle aspiration
- Endobronchial and transbronchial biopsies
- Bronchoalveolar lavage
Techniques for treating cancers, benign tumors, fistulas and removing foreign bodies lodged in the trachea or bronchial passages include:
- Nd-YAG laser ablation of obstructing tissue
- Argon Plasma Coagulation (noncontact electrocautery) of obstructing tissue
- Photodynamic therapy for primary or metastatic endobronchial tumors
- Brachytherapy (intraluminal radiotherapy) for endobronchial or extrinsic malignant obstruction
- Tracheal and bronchial stents
- Balloon dilatation
- Tracheal dilatation by rigid bronchoscopy
- Gross tumor excision by rigid bronchoscopy
- Foreign body extraction by flexible or rigid bronchoscopy
The Center also uses surgical techniques when necessary, including:
- Tracheal resection and reconstruction
- Sleeve resections
- Repair of tracheoesophageal fistulas
The Center is also investigating bronchoscopic treatments of advanced emphysema in ongoing clinical trials.
To refer a patient to the NewYork-Presbyterian Interventional Bronchoscopy and Endobronchial Therapy Program at Columbia University Medical Center, or to discuss a case, please contact:
Roger A. Maxfield, MD
Joshua R. Sonett, MD
Mark E. Ginsburg, M