TY - JOUR T1 - Interventional pulmonology: between ambition and wisdom JF - European Respiratory Review JO - EUROPEAN RESPIRATORY REVIEW DO - 10.1183/16000617.0146-2020 VL - 29 IS - 156 SP - 200146 AU - Hervé Dutau AU - David Feller-Kopman Y1 - 2020/06/30 UR - http://err.ersjournals.com/content/29/156/200146.abstract N2 - It is always useful to remember the past in order to understand and appreciate the present. In the past decades, we have experienced extraordinary changes and innovations in our discipline: interventional pulmonology. Almost all aspects of this sub-specialty have been transformed. Diagnostic bronchoscopy, previously limited to central airways, can now assess the periphery of the lungs thanks to new smaller bronchoscopes and innovative guiding techniques (virtual bronchoscopy, electromagnetic navigation, radial ultrasound, cone-bean computed tomography (CT)), allowing us to reach previously inaccessible nodules [1]. Mediastinal and hilar nodes are now routinely sampled using endobronchial ultrasound guidance, replacing surgical staging as the initial procedure of choice in many institutions [2]. Diseases which were previously almost considered as contraindications to bronchoscopy, such as asthma and COPD/emphysema, can now, in selected cases, be treated endoscopically [3].Interventional pulmonology has undergone amazing ambitious changes and innovations over the past decades, which have to find their place in a wise multidisciplinary management of respiratory diseases https://bit.ly/3dD237L ER -