Interventional Pulmonology is an emerging field in Pulmonary that has dramatically changed the approach to evaluating pulmonary nodules, diagnosis and staging of lung cancer, treatment of lung cancer and diagnosis and treatment of pleural diseases. The Interventional Pulmonology Program at Emory University is the largest and most comprehensive program of its kind in the state of Georgia and in the Southeastern United States.
The program was established in 2006 to provide patients with access to the latest, minimally invasive, state-of-the art diagnostic and therapeutic modalities to treating lung and pleural diseases. As one of the first programs in the country, the Emory Interventional Pulmonology program has experienced significant growth since its inception. It has three fellowship-trained interventional pulmonologist on staff with access to provide a full range of interventional services at two of the largest hospitals (http://www.emoryhealthcare.org) in Atlanta. We have a large catchment area in the Southeastern United states and also provide a consultation service to our Veterans from the Atlanta Veterans Affairs Medical Center (http://www.atlanta.va.gov/).
Emory's Interventional Pulmonology program specializes in treating patients with:
Diagnosis and treatment of lung cancers
Evaluation of thoracic lymphadenopathy
Airway obstruction (malignant or non-malignant disease)
Foreign body aspiration
Tracheal or bronchial stenosis
Tracheal or bronchial strictures
Airway granulation tissue
Complications from prior endotracheal or tracheostomy tube intubations
Evaluation of pleural effusions (benign or malignant)
Removal of airway stents
Other complex airway disease
We offer the least invasive and most up-to-date technology as treatment options. Patients are often evaluated and managed in a multidisciplinary approach with the involvement of our colleagues in Cardio-thoracic Surgery, Medical Oncology, Radiation Oncology, and ENT. This way, a treatment plan is tailored for each individual patient. As a complete Interventional Pulmonary program, we perform the following advanced non-invasive diagnostic, therapeutic and palliative procedures in both the inpatient and outpatient setting:
Endobronchial Ultrasound-transbronchial (EBUS)1
Electromagnetic Navigation Bronchoscopy (ILogic, SuperDimensions™)
High Definition and Narrow Band Imaging Bronchoscopy
Argon Plasma Coagulation
Photodynamic Therapy (PDT)
Fiducial Placement for External Beam Radiation (EBRT)
Airway Stents (Metallic, Hybrid and Silicone) Placement
Airway Stent Removal
Flexible Bronchoscopy2 (with Bronchoalveolar Lavage and Lung Biopsy)
Foreign Body Removal
Pleural Biopsy and Pleurodesis
Chronic Indwelling Pleural
Chronic Indwelling Pleural Drainage Catheters (Pleurx™)
Thoracic Ultrasound-Guided Chest Tube Placement
Thoracic Ultrasound-Guided Thoracentesis
Percutaneous Dilational Tracheostomy3
Transtracheal Oxygen (TTO) Catheter Placement
1EBUS can be done with transbronchial needle aspiration of lung mass or mediastinal and hilar lymph nodes.
2Flexible bronchoscopy can be done with bronchoalveolar lavage, endobronchial biopsy or transbronchial biopsy of lung mass.
3In the intensive care unit (ICU), we can do percutaneous dilational tracheostomy for patients who fail multiple extubation attempts or with anticipated prolonged mechanical ventilation need.
4Bronchial Thermoplasty is novel treatment that is performed during bronchoscopy by a trained interventional pulmonologist for patients with poorly controlled asthma despite the use of inhaled steroids and beta-agonists. During the procedure, thermal energy (heat) is applied to the airway smooth muscle to relieve recurrent asthma symptoms, decrease inhaler use, and improve overall asthma quality of life. Emory is one of the few centers in the country capable of performing this innovative procedure. If you would like to discuss this treatment therapy, please contact the Emory Interventional Pulmonary Service. For more information also please visit: www.btforasthma.com
For outpatient referrals or consultations, please contact: Cicely Ross RRT/RPFT/RN/BS/MSc/NP-S at 1-404-778-4017 or email: firstname.lastname@example.org. These patients will be seen within one week or earlier if necessary.
For inpatient transfers or consultations, please contact the Emory University Transfer service at 1-404-686-8334 and request to speak with Dr. David Berkowitz or Dr. Christine Argento.
For questions about enrolling you patients in on-going clinical research studies, please contact the Emory University Transfer service at 1-404-686-8334 and request to speak with Dr. David Berkowitz or Dr. Christine Argento.
If you have any questions, concerns or to schedule a new patient appointment, please contact: Samantha Jackson, Administrative Assistant for the Interventional Pulmonology Service at 1-404-778-5734 or email: email@example.com. If you are a new patient, please have your records faxed to us 1-404-778-4431 for detailed review prior to your clinic appointment.
In addition to exceptional clinical care and education, the members of the Interventional Pulmonology program are dedicated to the growth of the field. Research is a significant part of the advancement of the field. Research studies examining the clinical indications and patient outcomes of interventional procedures are important especially as new medical device are introduced to the market. The program consistently presents original research at national and international meetings for the American College of Chest Physicians and the American Thoracic Society.
The IP fellow would be expected to be knowledgeable in all on-going IP-related research studies and to contribute where necessary. Through this experience, the fellow will gain valuable experience in designing and performing literature review prior to IRB submission, conducting clinical research and analyzing research data. The fellow is also expected to produce and present at least one IP-related research study at a national conference or for publication.
We offer an annual two-day intensive course for physicians and affiliates interested in gaining additional experience in Interventional Pulmonology. National and international experts in the field provide lectures and hands-on experience with the latest tools and technology. The course is held each April. For more information, please contact Cicely Ross: firstname.lastname@example.org or Keir Gray: email@example.com.
David Berkowitz, MD
Pulmonary at EUH-Midtown
Assistant Professor of Medicine
Program Director, Emory Interventional Pulmonary Fellowship
Director, Interventional Pulmonary at Emory Healthcare
Dr. Berkowitz completed his medical residency at Harvard University in Cambridge, MA and did his pulmonary-critical care fellowship training at Emory University in Atlanta, GA. He completed an additional one year of Interventional Pulmonary fellowship training at Harvard University in Boston, MA before returning to Emory to join the Interventional Pulmonary program.
Christine Argento, MD
Assistant Professor of Medicine