Napoleon Puente
@pulmo_dok
Pulmonary Critical Care /Lung Nodule and Lung Cancer Clinic /Interventional Pulmonary/
ID: 3054059545
01-03-2015 23:35:33
43 Tweet
139 Followers
134 Following
Reward for perseverance. Massive alveolar hemorrhage in a patient on VA-ECMO, creating full clot and fibrin cast of lower trachea and main bronchi. Eventually extracted with therapeutic cryoprobe after MULTIPLE bronchoscopies. With Napoleon Puente
Why you shouldn’t hold tacks and nails between your teeth. Thumbtack removed from left lower lobe bronchi after collecting 6 months worth of granulation tissue. With Napoleon Puente
Always more beneath the surface. Another case of nonspecific recurring pleural effusion, with diffuse pleural tumor studding on thoracoscopic views. With Napoleon Puente
A whole new world! Peaking inside a 9mm peripheral lesion with a hidden internal cavity, using the Ion robotic bronchoscopy platform. With Napoleon Puente
Integrating cutting edge technology to optimize patient care. Our first case using Cone-Beam CT supported augmented fluoroscopy with the Ion robotic bronchoscopy platform. With Napoleon Puente
ALL the things. VA-ECMO and rigid bronchoscopy supported lung cryobiopsy to answer questions about transplantation candidacy. Using all available advanced tools to help obtain answers for a patient in need, in a unique scenario. Another great case with Napoleon Puente
One stop shop. Combining multiple interventions to address complex lung cancer related problems. Debulking and stenting of right main bronchial tumor together with placement of tunneled pleural catheter to improve right lung aeration and functional status. With Napoleon Puente
Behind door number one... Complete left lung collapse due to obstruction of LMB with metastatic edobronchial tumor. Recannulated with rigid forceps, cryo-resection, and endobronchial fully covered stent with full re-expansion of LUL. With Napoleon Puente
Two for one! Single anesthetic procedure, using Ion robotic navigational bronchoscopy for dye marking of a lone pulmonary metastasis with ICG and methylene blue, to facilitate sublobar metastasectomy with da Vinci robotic surgery. Another great case with Napoleon Puente and Dr Stasik.
How do you IPC? Combining pleuroscopic talc pleurodesis with indwelling tunneled pleural catheter (IPC) to improve symptom control, rates of and time to pleurodesis for malignant pleural effusions. With Napoleon Puente
2nd chances. Right main bronchial tumor eventually progressing to complete right lung collapse and respiratory failure. Recannulated with fully covered self expanding metal stent to allow liberation from ventilator and go on to chemo-radiation. Another great case with Napoleon Puente
Tunneling. Mediastinal mass with tracheal compression at carina, treated with tracheal dilation and stenting. Proud to be only the second site in Texas and among first ten in US to use Thoracent / Micro-Techs new tracheal Y SEMS. With Napoleon Puente and Methodist SA IP Dream Team.
