activity Committee Member
2022 - PresentDescriptionPhysician Lead for Yale Robotic Bronchoscopy Programactivity Committee Member
07/01/2023 - PresentDescriptionThoracic Oncology Assembly - Early Career Professionals Working Group Committee Memberactivity Committee Member
11/21/2022 - Presentactivity Committee Member
11/14/2022 - Presentactivity Yale Robotic Bronchoscopy Program
activity Robotic Bronchoscopy
activity Robotic Bronchoscopic Lung Mass Biopsy on Clopidogrel: A Case Report
Abstract/SynopsisIntroduction: With robotic bronchoscopy, lung nodules and masses can be biopsied with a lower pneumothorax risk and similar diagnostic yield as CT-guided transthoracic approach. Bleeding risk for both procedures remains low. In patients who had endovascular stenting and are on antiplatelet agents, pre-procedural management of bleeding risk can be challenging, since holding their antiplatelet agents can have severe consequences. Clopidogrel, an oral antiplatelet agent, can be safely continued for many pulmonary procedures, including EBUS-guided lymph node biopsies. The risk of bleeding for patients undergoing robotic bronchoscopy and FNA of lung mass remains unknown Case report: We present a case of a 75-year-old male former smoker with a new right middle lobe lung mass. He has a history of coronary artery disease and recent drug-eluting stent placed for angina. Stopping his clopidogrel was considered too high risk by his cardiologist. Delaying biopsy until clopidogrel could be stopped was also considered deleterious. Admission prior to biopsy, with transition to an IV anti-platelet equivalent (e.g. cangrelor) was considered but deems unfeasible. Ultimately, with patient informed consent, we proceeded with fine-needle aspiration of his mass using the Ion platform while on clopidogrel. A 23G needle was used for a total of 5 passes until ROSE confirmed adequate tissue. Transbronchial biopsies were deferred. There was no bleeding or other complication post-biopsy. Final cytology confirmed non-small cell lung cancer. Conclusion: For patients in whom clopidogrel cannot be safely held, delaying procedure or admission with transition to IV anti-platelet agent can be considered but come with their own unique drawbacks. In our case, the patient successfully underwent FNA of his lung mass while on therapeutic clopidogrel using robotic bronchoscopy. Robotic bronchoscopy and FNA of lung lesions may be considered for patients in whom clopidogrel cannot be held but further studies need assess its safety and broad applicability
activity Yale Robotic Bronchoscopy Program
activity Airway Anatomy and Foreign Body Removal - Hands on Session
activity Robotic Assisted Bronchoscopy with ZIEHM Portable Cone Beam CT
activity Expert
2023 - 2023DescriptionNews article featuring me helping a patient with robotic bronchoscopyactivity Expert
2023 - 2023DescriptionInvited expert to do a podcast about soft robotic use in medicine, particularly robotic bronchoscopy. https://www.wsj.com/podcasts/wsj-the-future-of-everything/meet-the-soft-robots-doing-the-hard-jobs-of-the-future/be2b63d3-d1a6-42e3-99a0-42a8760839c3activity Expert
2023 - 2023DescriptionFact Sheet - Endobronchial Valve Placement. https://www.yalemedicine.org/conditions/endobronchial-valve-placementactivity Expert
2023 - 2023DescriptionFact Sheet - Robotic Bronchoscopy. https://www.yalemedicine.org/conditions/robotic-bronchoscopyactivity Airway Anatomy and Foreign Body Removal - Hands on Session
activity Expert
2022 - 2022DescriptionFinding an edge: New Monarch, ION systems may detect lung cancer sooner. https://www.rep-am.com/featured/2022/12/29/finding-an-edge-new-monarch-ion-systems-may-detect-lung-cancer-sooner/activity Expert
2022 - 2022DescriptionInvited guest speaker for a podcast by Yale Cancer Center for Lung Cancer Awareness Month. https://preview.yale.edu/preview-news-article/yale-cancer-answers-in-honor-of-lung-cancer-awareness-month/activity Airway Anatomy and foreign body removal - Hands on Session
activity Expert
2020 - 2020DescriptionInvited guest speaker for the podcast "Things I Wish I Knew Before My IP Fellowship" by AABIP Podcast. https://www.youtube.com/watch?v=Hs1qrwbOIdo