Interventional Pulmonology: Extending the Breadth of Thoracic Care.

IF 15.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Annual review of medicine Pub Date : 2024-01-29 Epub Date: 2023-10-12 DOI:10.1146/annurev-med-050922-060929
Yaron B Gesthalter, Colleen L Channick
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Abstract

Interventional pulmonary medicine has developed as a subspecialty focused on the management of patients with complex thoracic disease. Leveraging minimally invasive techniques, interventional pulmonologists diagnose and treat pathologies that previously required more invasive options such as surgery. By mitigating procedural risk, interventional pulmonologists have extended the reach of care to a wider pool of vulnerable patients who require therapy. Endoscopic innovations, including endobronchial ultrasound and robotic and electromagnetic bronchoscopy, have enhanced the ability to perform diagnostic procedures on an ambulatory basis. Therapeutic procedures for patients with symptomatic airway disease, pleural disease, and severe emphysema have provided the ability to palliate symptoms. The combination of medical and procedural expertise has made interventional pulmonologists an integral part of comprehensive care teams for patients with oncologic, airway, and pleural needs. This review surveys key areas in which interventional pulmonologists have impacted the care of thoracic disease through bronchoscopic intervention.

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介入性肺病:扩大胸部护理的广度。
介入肺医学已经发展成为一个专注于复杂胸部疾病患者管理的亚专业。利用微创技术,介入肺科医生诊断和治疗以前需要更具侵入性选择(如手术)的病理。通过降低手术风险,介入性肺科医生将护理范围扩大到更广泛的需要治疗的弱势患者。内窥镜的创新,包括支气管内超声、机器人和电磁支气管镜检查,增强了在门诊基础上进行诊断程序的能力。症状性呼吸道疾病、胸膜疾病和严重肺气肿患者的治疗程序提供了缓解症状的能力。医学和手术专业知识的结合使介入肺科医生成为肿瘤学、气道和胸膜需求患者综合护理团队不可或缺的一部分。这篇综述调查了介入性肺科医生通过支气管镜干预影响胸部疾病护理的关键领域。《医学年度评论》第75卷预计最终在线出版日期为2024年1月。请参阅http://www.annualreviews.org/page/journal/pubdates用于修订估算。
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来源期刊
Annual review of medicine
Annual review of medicine 医学-医学:内科
CiteScore
24.90
自引率
0.00%
发文量
58
期刊介绍: The Annual Review of Medicine, which has been published since 1950, focuses on important advancements in diverse areas of medicine. These include AIDS/HIV, cardiology, clinical pharmacology, dermatology, endocrinology/metabolism, gastroenterology, genetics, immunology, infectious disease, neurology, oncology/hematology, pediatrics, psychiatry, pulmonology, reproductive medicine, and surgery. The journal's current volume has transitioned from a gated access model to an open access model through the Annual Reviews' Subscribe to Open program. All articles published in the journal are now available under a CC BY license.
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