Advanced minimally invasive diagnostic staging, transbronchial cryobiopsy, rigid bronchoscopy recanalization, airway stenting, and medical pleuroscopy for complex thoracic, airway, and pleural diseases at KIMS Super Speciality Hospital, Electronic City, Bangalore.
High-precision diagnostics, cutting-edge medical technologies, and evidence-based treatment pathways tailored for individual patient outcomes.
Interventional Pulmonology is a specialized subdiscipline of pulmonary medicine dedicated to advanced, minimally invasive diagnostic and therapeutic procedures within the airways, lungs, and pleural space. By combining real-time ultrasound guidance, cryogenic cooling technology, rigid endoscopy, and thermal energy, complex thoracic conditions that historically required major open chest surgery (thoracotomy) can now be diagnosed and treated with minimal discomfort, low complication rates, and short recovery times.
The Interventional Pulmonology department operates a dedicated bronchoscopy theatre equipped with high-definition video bronchoscopes, radial and linear EBUS processors, cryosurgical consoles, and fluoroscopic imaging. Minimally invasive diagnostic and therapeutic procedures are performed under monitored conscious sedation or total intravenous anesthesia (TIVA) with rigid bronchoscopy, ensuring high diagnostic yields and rapid same-day recovery.
Recognizing clinical signs and diagnostic triggers that indicate the need for specialized pulmonary review.
Enlarged thoracic lymph nodes discovered on CT or PET scans requiring rapid, definitive tissue diagnosis to differentiate between tuberculosis, sarcoidosis, lymphoma, or metastatic malignancy without open surgery.
Recurrent or massive expectoration of blood from the respiratory tract requiring urgent bronchoscopic localization, balloon tamponade, cold saline lavage, or preparation for bronchial artery embolization.
Central or peripheral pulmonary lesions requiring histologic biopsy, molecular profiling, and next-generation sequencing (NGS) for EGFR, ALK, ROS1, and PD-L1 to guide targeted chemotherapy and immunotherapy.
Critical narrowing of the trachea or mainstem bronchi causing suffocating breathlessness, wheezing, and respiratory distress due to benign post-intubation strictures or malignant endobronchial tumor ingrowth.
Diffuse interstitial lung diseases where high-resolution CT is non-conclusive and substantial parenchyma tissue is required for histopathology, performed via freeze-thaw transbronchial cryobiopsy.
Persistent fluid accumulation in the chest cavity unresponsive to simple fluid aspiration, requiring medical thoracoscopy (pleuroscopy) for direct visual inspection, targeted parietal biopsies, and talc pleurodesis.
Advanced medical and surgical equipment providing high-yield diagnostic precision and life-saving therapeutic interventions.
Linear curved-array ultrasound mounted on a specialized bronchoscope enables real-time visual transbronchial needle aspiration of mediastinal (stations 2, 4, 7) and hilar (stations 10, 11) lymph nodes with superior diagnostic yields exceeding 92% and zero incision.
A miniature rotating ultrasound probe inserted through a flexible guide sheath navigates into sub-segmental peripheral bronchi to verify acoustic contact with peripheral pulmonary nodules prior to transbronchial biopsy.
A dedicated cryoprobe freezes adjacent alveolar parenchyma to -89°C within seconds, extracting large, artifact-free, non-crushed lung biopsies for precise pathological classification of interstitial lung diseases without open surgery.
Insertion of stainless steel rigid bronchoscopes provides secure airway control, mechanical core-out of obstructing endobronchial tumors, and precision deployment of self-expanding metallic (SEMS) or silicone Montgomery/Dumon stents.
Single-port inspection of the pleural cavity under local anesthesia and conscious sedation. Enables multiple biopsies of abnormal pleural nodules, adhesiolysis of early loculated empyema, and bedside talc poudrage for recurrent malignant effusion.
Therapeutic isolation of a single lung using a double-lumen endotracheal tube under general anesthesia, performing sequential warm saline washouts to physically extract lipoproteinaceous alveolar deposits in Pulmonary Alveolar Proteinosis (PAP).
How we guide every patient from initial assessment to definitive treatment and long-term functional recovery.
Review of existing contrast-enhanced CT or PET-CT scans, baseline spirometry, coagulation parameters, and arterial blood gas profiles to confirm indication and procedure safety.
Selection of optimal scope, needle caliber, and cryoprobe dimension. Coordination with our anesthesiology team for tailored conscious sedation or total intravenous anesthesia.
Procedure performed in KIMS advanced bronchoscopy theatre with real-time fluoroscopy, Doppler ultrasound guidance, and rapid on-site cytological confirmation.
Brief 2-4 hour post-sedation monitoring in recovery bay, repeat chest radiograph if indicated, and detailed multidisciplinary clinic consultation once histopathology reports arrive.
Clear, clinically accurate answers to common patient questions regarding this pulmonary specialty.
No. The procedure is performed under local topical anesthesia (lidocaine) sprayed onto the vocal cords and throat, combined with intravenous conscious sedation or general anesthesia. Most patients sleep comfortably throughout the procedure and have no memory of discomfort.
For diagnostic bronchoscopy and EBUS-TBNA, patients are observed in the post-anesthesia recovery area for 2 to 3 hours and can typically go home the same day. For transbronchial cryobiopsy, an overnight observation is standard to verify complete lung reinflation and absence of pneumothorax before safe discharge.
Conventional forceps biopsies compress and tear delicate lung tissue, creating tiny specimens (1-2 mm) that are frequently crushed and non-diagnostic for complex interstitial lung diseases. Cryobiopsy freezes a 5-7 mm pristine spherical specimen without mechanical crush, providing pathologists with high-yield alveolar architecture comparable to surgical lung biopsy.
Yes. Dedicated silicone stents and fully covered metallic stents are designed to be removable or repositionable using rigid bronchoscopy once the underlying stricture stabilizes or responsive treatment (such as radiation/chemotherapy) resolves the external compression.
Patients must fast (no food or drinks) for at least 6 to 8 hours prior to the procedure. Blood thinners (aspirin, clopidogrel, anticoagulants) may need temporary suspension for several days under Dr. Yadav’s explicit clinical instructions. Bring all recent CT scans and blood investigations.
Consultation Specialty: Interventional Pulmonology & Advanced Bronchoscopy
