Interventional Pulmonology: Current Status and Future Direction

This chapter outlines the development of interventional pulmonology over the last three decades beginning with the introduction of the Nd:YAG laser for use in therapeutic bronchoscopy. Mention will be made of early pioneers who set the stage for modern interventional pulmonology. The chapter reviews the current scope of practice of interventional pulmonology with emphasis on newer bronchoscopy techniques for diagnosis and staging of thoracic malignancy. The current status of training in interventional pulmonology will be discussed along with issues regarding credentialing and the need for a formal 1-year interventional pulmonology fellowship.