Interventional Pulmonology (IP)

Who We Are:

FACULTY

FELLOW

David Chambers

David Chambers, MD

UNC Multidisciplinary Thoracic Oncology Program (MTOP) clinic

MTOP Clinic location: 2nd Floor, North Carolina Cancer Hospital, 101 Manning Drive, Chapel Hill, NC 27514
Appointment phone numbers: Vickie Dowdy 984-974-8641; fax 984-974-8616

Patient questions instructions –

  • Call Tammy Allred (984-974-0000) during business hours. 
  • Call hospital operator (984-974-4100) after hours and ask for the interventional pulmonology fellow on call.

Referring physicians: Please e-mail Dr. Akulian, Dr. Rivera, Dr. Belanger, and/or Dr. Burks and we will expedite your patients’ appointment

Our goal is to provide expeditious care to patients with malignant and benign diseases of the airways, lung tissue, and pleura in a multidisciplinary fashion with outstanding communication to both the patient and the referring physicians.

Patients with lung nodules or masses and hilar or mediastinal lymphadenopathy are evaluated and treated in a multidisciplinary approach with members from Interventional Pulmonology (IP), Medical Oncology, Thoracic Surgery and Radiation Oncology in the UNC Multidisciplinary Thoracic Oncology Program (MTOP) clinic and weekly conference.

We are part of a larger complex airway team that involves Interventional Pulmonology (IP), Otolaryngology (ENT/Head and Neck surgery), Thoracic Surgery, and Anesthesiology.  This team serves patients with complex upper and lower airway obstructions and patients requiring tracheostomy for respiratory failure or cancer.


Diseases Evaluated and Treated:

  • Lung Nodules and Masses
  • Lung Cancer
  • Central Airway Obstruction
    • Malignant/Cancerous
    • Non-Malignant/Non-Cancerous
      • Sarcoidosis
      • ANCA associated Vasculitides
      • Post-Intubation Tracheal Stenosis
      • Subglottic Stenosis
      • Foreign Bodies
      • Tracheobronchomalacia
      • Relapsing Polychondritis
      • Respiratory Papillomatosis
      • Pulmonary Alveoloar Proteinosis
      • Post-Transplant Stenosis
      • Post-Infectious Stenosis
  • Pleural Effusions
    • Transudative
      • Heart Failure
      • Hepatic Hydrothorax/Cirrhosis
      • Renal Failure
    • Exudative
      • Malignant
      • Mesothelioma
      • Infectious/Empyema
      • Tuberculous
      • Connective Tissue Disorders
      • Others
  • Pneumothorax
    • Traumatic
    • Broncho-Pleural fistula
    • Alveolar-Pleural fistula
    • Primary
    • Secondary to Lung Disease

Services Provided:

Therapeutic Bronchoscopy

We provide relief of dyspnea (difficulty breathing) from cancerous and non-cancerous causes using rigid and flexible bronchoscopy techniques and state of the art equipment including:

  • Ablation Techniques:
  • Argon Plasma Coagulation (APC)
  • Laser Ablation
  • Microdebrider
  • Mechanical Debulking
  • Electrocautery
  • Cryotherapy
  • Photodynamic Therapy (PDT)
    • Endobronchial Brachytherapy
    • Stenting - Silicone, Metallic, and Hybrid/Covered Metallic
    • Montgomery T-tube Placement
    • Balloon Bronchoplasty
    • Percutaneous Tracheostomy

Advanced Diagnostic Bronchoscopy

We diagnose, stage, and provide samples for therapeutic and prognostic testing, and place fiducial markers for Stereotactic Body Radiation Therapy (SBRT/Cyberknife) all within the same procedure and anesthesia session. We accomplish this with the most up to date and state of the art equipment.

  • Electromagnetic Navigation Bronchoscopy (EMB)
  • Linear and Radial Endobronchial Ultrasound (EBUS)
  • Autofluorescence and Narrow-Band Imaging
  • Robotic Bronchoscopy

Carolina Center for Pleural Disease Treatment and Research

We also provide consultation and treatment of benign and malignant pleural disease such as mesothelioma, metastatic cancer, connective tissue diseases, bronchopleural fistula/persistent air leak and both acute and chronic infection in concert with Medical Oncology, Thoracic Surgery and Interventional Radiology. We perform all pleural procedures under image guidance (ultrasound or CT) including:

  • Ultrasound-Guided Thoracentesis
  • Ultrasound-Guided Pleural and Lymph Node Biopsy
  • Ultrasound-guided Small Bore Chest Tube/Pigtail Catheter Placement
  • Pleural Manometry
  • Tunneled Pleural Catheter (PleurRx®) Placement
  • Chemical Pleurodesis/Pleural Sealing
  • Medical Thoracoscopy

Areas of Research:

We are constantly striving to improve our ability to provide the most accurate diagnostic and therapeutic information in the least invasive way possible. Through an active clinical research endeavor, we are developing, evaluating, and defining minimally invasive devices, techniques, and therapies for the diagnosis and treatment of malignant and benign airway, lung, and pleural diseases.

  • Device Development and Evaluation
  • Lung Nodule Localization, Diagnosis, and Marking
  • Therapeutics
    • Intrapleural Cancer Therapies
    • Endobronchial Medication Delivery and Ablation
    • Peripheral Medication Delivery and Nodule Ablation
    • Pathophysiology and Treatment of Immune-Therapy Related Lung Toxicities

Active Studies:

  • SWIFT Trial – Trial of silver coated indwelling pleural catheters to decrease time to pleurodesis.
  • Steerable peripheral needle platform
  • Precepta
  • All-in-One
    Next generation sequencing of small biopsies

Interventional Pulmonology Study Coordinator:

Interventional Pulmonary (IP) Fellowship:

We offer a one year, interventional pulmonology fellowship. To learn more about this fellowship, please visit the Interventional Pulmonary (IP) Fellowship website.