China's National Leader in Interventional Pulmonology & Advanced Bronchoscopy
The Department of Interventional Pulmonology at Shanghai Pulmonary Hospital — affiliated with Tongji University — is one of China's most distinguished and nationally recognized interventional pulmonology centers, with a national reputation for excellence in advanced bronchoscopy, endobronchial ultrasound (EBUS), navigational bronchoscopy, bronchoscopic lung volume reduction, airway management, and the minimally invasive diagnosis and treatment of thoracic conditions. As China's premier dedicated pulmonary specialty hospital, the interventional pulmonology department benefits from unparalleled integration with thoracic surgery, pulmonary oncology, respiratory medicine, and lung transplantation — offering international patients access to the full spectrum of bronchoscopic and pleural interventions under one roof. China Medical Concierge Shanghai (CMCS) provides seamless end-to-end coordination for international patients throughout their interventional pulmonology care journey.
About the Department
The interventional pulmonology department is a national key clinical specialty and national interventional pulmonology training center operating multiple bronchoscopy suites with fluoroscopy, EBUS, navigational bronchoscopy, and cone-beam CT capability, a pleural disease intervention program, a bronchoscopic lung volume reduction program, a central airway management program, and works in close collaboration with thoracic surgery, pulmonary oncology, respiratory medicine, and radiology through a fully integrated multidisciplinary team.
Diagnostic Bronchoscopy
Endobronchial Ultrasound (EBUS)
- Convex Probe EBUS-TBNA (CP-EBUS) — For mediastinal and hilar lymph node staging in lung cancer; diagnosis of mediastinal masses; sarcoidosis; lymphoma; one of China's highest-volume EBUS programs; rapid on-site evaluation (ROSE); molecular profiling from EBUS samples (NGS, PD-L1, ALK IHC)
- Radial Probe EBUS (RP-EBUS) — For peripheral pulmonary lesions; guide sheath technique; combined with fluoroscopy; lesion localization before biopsy
- EBUS-Guided Cryobiopsy — For peripheral lesions; larger samples than forceps biopsy; improved diagnostic yield
Navigational Bronchoscopy
- Electromagnetic Navigation Bronchoscopy (ENB) — superDimension iLogic; for peripheral pulmonary nodules not accessible by standard bronchoscopy; real-time navigation; biopsy and fiducial marker placement for SBRT; one of China's most experienced ENB programs
- Robotic Bronchoscopy — Ion Endoluminal System (Intuitive); Monarch Platform (Auris/J&J); ultra-thin robotic catheter; superior reach to peripheral lesions; shape-sensing technology; CT-to-body divergence correction; one of China's most experienced robotic bronchoscopy programs
- Cone-Beam CT-Guided Bronchoscopy — Real-time 3D fluoroscopic guidance; augmented fluoroscopy; confirms tool-in-lesion before biopsy; superior to standard fluoroscopy for peripheral lesions
- Ultrathin Bronchoscopy — 1.8mm ultrathin bronchoscope for subsegmental airways; combined with radial EBUS and fluoroscopy
Transbronchial Cryobiopsy for ILD
- Transbronchial lung cryobiopsy (TBLC) for ILD diagnosis; larger samples than forceps biopsy; comparable to surgical lung biopsy for UIP pattern; fluoroscopic guidance; one of China's most experienced TBLC programs; combined with BAL for comprehensive ILD workup
Bronchoalveolar Lavage (BAL)
- For ILD diagnosis (cellular differential); infection (PCP, fungal, NTM, viral); alveolar proteinosis (milky BAL); malignancy; eosinophilic pneumonia; BAL cell differential; microbiological culture; cytology; flow cytometry
Therapeutic Bronchoscopy
Central Airway Management
- Rigid Bronchoscopy — For central airway obstruction; massive hemoptysis; foreign body removal; stent placement; tumor debulking; one of China's most experienced rigid bronchoscopy programs
- Airway Stenting — Silicone stents (Dumon); self-expanding metallic stents (SEMS); covered and uncovered; Y-stents for carinal involvement; biodegradable stents; for malignant and benign airway stenosis
- Laser Bronchoscopy — Nd:YAG laser for endobronchial tumor debulking; hemostasis; airway recanalization
- Argon Plasma Coagulation (APC) — For endobronchial tumor; granulation tissue; hemostasis; post-stent granuloma
- Electrocautery — Snare resection; probe coagulation; knife for web stenosis
- Cryotherapy — Cryorecanalization for endobronchial tumor; cryospray for airway lesions; cryoadhesion for foreign body removal
- Photodynamic Therapy (PDT) — For early central airway malignancy; superficial endobronchial cancer; porfimer sodium; temoporfin
Bronchoscopic Lung Volume Reduction (BLVR)
- Endobronchial Valves (Zephyr EBV) — For severe emphysema with intact interlobar fissures; one-way valves causing lobar atelectasis; HRCT fissure analysis; Chartis collateral ventilation assessment; one of China's most experienced Zephyr EBV programs; LIBERATE trial evidence
- Endobronchial Coils — For severe emphysema without intact fissures; bilateral treatment; RENEW trial evidence
- Thermal Vapor Ablation (BTVA) — Targeted destruction of emphysematous tissue; upper lobe predominant emphysema; STEP-UP trial
- Bronchoscopic Thermal Ablation — For heterogeneous emphysema; targeted lobar treatment
Bronchial Thermoplasty (BT)
- For severe persistent asthma not controlled with biologics; radiofrequency energy delivery to airway smooth muscle; three-session protocol; AIR2 trial evidence; one of China's most experienced BT programs
Bronchoscopic Treatment of Lung Cancer
- Bronchoscopic Ablation — Microwave ablation (MWA) via bronchoscope for peripheral lung tumors; radiofrequency ablation (RFA); cryoablation; bronchoscopic-guided thermal ablation (BTGA); one of China's most experienced bronchoscopic ablation programs
- Fiducial Marker Placement — ENB or robotic bronchoscopy-guided fiducial placement for SBRT targeting; real-time tumor tracking
- Endobronchial Brachytherapy — High-dose rate (HDR) brachytherapy for endobronchial malignancy; palliative airway recanalization
Pleural Interventions
- Medical Thoracoscopy (Pleuroscopy) — For undiagnosed exudative pleural effusion; pleural biopsy; talc poudrage pleurodesis; one of China's most experienced medical thoracoscopy programs
- Indwelling Pleural Catheter (IPC) — PleurX for malignant pleural effusion; ambulatory drainage; auto-pleurodesis; talc slurry via IPC
- Ultrasound-Guided Thoracentesis — Diagnostic and therapeutic; real-time ultrasound guidance; safety and accuracy
- Pleural Biopsy — Image-guided cutting needle biopsy; medical thoracoscopy biopsy; for mesothelioma and pleural malignancy
- Chemical Pleurodesis — Talc poudrage via thoracoscopy; talc slurry via chest tube; for malignant pleural effusion and recurrent pneumothorax
Pulmonary Nodule Management Program
Shanghai Pulmonary Hospital's pulmonary nodule program is one of China's most comprehensive, integrating interventional pulmonology with thoracic surgery and pulmonary oncology:
- Nodule Risk Stratification — Fleischner Society guidelines; Lung-RADS; Mayo Clinic model; Brock University model; CT surveillance protocols; PET-CT for indeterminate nodules
- Bronchoscopic Biopsy — Robotic bronchoscopy (Ion, Monarch); ENB; cone-beam CT-guided bronchoscopy; radial EBUS; for peripheral nodules ≥1cm
- CT-Guided Biopsy — Coordination with interventional radiology for nodules not accessible by bronchoscopy
- Bronchoscopic Ablation — MWA and RFA for small peripheral nodules in high surgical risk patients; alternative to VATS resection
- Surgical Resection — Coordination with thoracic surgery for VATS wedge resection, segmentectomy, or lobectomy; intraoperative frozen section
Why International Patients Choose Shanghai Pulmonary Hospital Interventional Pulmonology
- Robotic Bronchoscopy — Ion and Monarch robotic bronchoscopy for peripheral lung nodule biopsy; one of China's most experienced programs
- Bronchoscopic Ablation — One of China's most experienced bronchoscopic MWA and RFA programs for peripheral lung tumors
- Zephyr EBV Expertise — One of China's most experienced endobronchial valve programs for severe emphysema
- TBLC for ILD — One of China's most experienced transbronchial cryobiopsy programs; avoids surgical lung biopsy in many patients
- Cone-Beam CT Bronchoscopy — Real-time 3D guidance for peripheral lesion biopsy; superior diagnostic yield
- Cost-Effectiveness — World-class interventional pulmonology at significantly lower cost than equivalent treatment in Western countries
The CMCS Patient Journey
- Initial Inquiry — Share your pulmonary condition, CT chest imaging, PET-CT, pulmonary function tests, and prior bronchoscopy reports with CMCS.
- Medical Record Preparation — We translate and organize your records for specialist pre-consultation review.
- Specialist Matching — We identify the most appropriate interventional pulmonologist based on your condition — lung nodule biopsy, EBUS staging, airway management, BLVR, bronchial thermoplasty, or pleural intervention.
- Priority Scheduling — We secure a consultation and procedure slot with minimal waiting time.
- Travel & Logistics — Assistance with visa invitation letters, accommodation near Shanghai Pulmonary Hospital, and Shanghai airport transfers.
- Pre-Procedure Assessment — Full coordination of pre-procedure CT, pulmonary function testing, anesthesia assessment, and fissure analysis for BLVR.
- Procedure Coordination — Full coordination of bronchoscopic procedure admission and post-procedure monitoring.
- Post-Procedure Follow-Up — Procedure report translation, biopsy result interpretation, and remote follow-up coordination after you return home.
Book a Consultation
If you have a pulmonary nodule requiring biopsy, need mediastinal staging, have severe emphysema, require airway management, or need any bronchoscopic or pleural intervention — CMCS can arrange a specialist consultation with Shanghai Pulmonary Hospital's interventional pulmonology team.
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