WHERE CAN YOU FIND ME


NCTLD

National Center For Tuberculosis And Lung Disease

   Diagnostic Department | Bronchoscopy Unit

   Maruashvili Street 50 | Tbilisi

   (+995) 577 785 575

   (+995 32) 291 0347

 

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WORK HOURS

My work schedule. All additional appointments should be made via this website or by contacting me on the provided phone number.

 

NCTLDMonday - Friday

8.00 - 16.00

Aversi ClinicWednesday and Friday

16.00 - 19.00

Additional AppointmentsPrior Appointment

Only on Call


AVERSI CLINIC

 

   Endoscopy Department

   Vazha-Pshavela Avenue 27 | Tbilisi

   (+995) 577 785 575

   (+995 32) 250 0700

 

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MAKE AN APPOINTMENT

You can make an appointment by filling all required fields in the form below. After receiving your appointment request, I will contact you via e-mail or by phone to confirm if requested date and specify time and place.

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Get the latest diagnostic and therapeutic methods at the high professional level.

My main goal is to help patients with serious lung problems to gain access to modern diagnostic and therapeutic methods currently available only in the advanced clinics of developed countries.

BRONCHO FIBROSCOPY (BF)Most commonly performed procedure in pulmonary medicine.
RIGID BRONCHOSCOPY (RB)Allows performing modern therapeutic methods.
ENDOBRONCHIAL BIOPSY (EB) Only diagnostic method for obtaining tissue from the endobronchial tumours in cases of suspected lung cancer.
AIRWAY STENTING (AS) Main indication to relief of symptoms consistent with airway obstruction.
LASER RESECTION (LR)Endobronchial treatment for interventional pulmonology.
VALVE BRONCHOBLOCATION (VB) Promising new approach for both acute and chronic conditions of the lung.

Latest News

laser resection and stenting; NSCLC.

24

Oct, 2017

laser resection and stenting; NSCLC.

By: | Tags:

[vc_row][vc_column][vc_column_text]70 year old male. Over the past month, the patient developed a cough with hemorrhagic sputum, shortness of breath, left-sided pain in the chest. CT scan revealed atelectasis of the left upper lobe. Bronchoscopy showed complete tumor occlusion of the left main…

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Valvular Bronchoblocation, Bronchopleural Fistula

8

Jun, 2017

Valvular Bronchoblocation, Bronchopleural Fistula

By: | Tags: , ,

27 old female patient. In 2012 and repeatedly in 2016 she was treated with anti TB chemotherapy because of pulmonary TB. In February of 2017 she developed hemoptysis, periodically turned into bleeding. In march of 2017 she underwent left-sided pneumonectomy under vital indications. Two months after surgery developed the insufficiency of the stump of the left main bronchus. Patient’s condition worsened and was decided to conduct valve placement. Under general…

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Valvular Bronchoblocation, Bullous emphysema, Giant bullae

3

May, 2017

Valvular Bronchoblocation, Bullous emphysema, Giant bullae

By: | Tags: , ,

60 year old male patient. From 2002 he had COPD. Because of frequent exacerbations he was periodically hospitalized. His condition recently worsened. Except dyspnea he developed hemoptysis, periodically turned into bleeding. The patient was consulted by thoracic surgeons. Surgery was not considered appropriate because of high risk of complications. It was decided to make bronchoblocation as the only option. Under general anesthesia in the right upper bronchus has been inserted…

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Meet The Doctor

DR.DAVID TCHKONIA

BRONCHOLOGIST

My main goal is to help patients with serious lung problems

to gain access to modern diagnostic and therapeutic

methods currently available only in the advanced

clinics of developed countries.

SPECIALIZATIONS

Broncho Fibroscopy (BF)

This is the most commonly performed procedure in pulmonary medicine. This is non-invasive endoscopic procedure, which is performed in outpatients under the conscious sedation. BF performed for diagnostic and therapeutic purposes. Diagnostic BF is necessary to obtain broncho-alveolar lavage (BAL) and biopsy samples from injured parts of the lungs for lab evaluations. Therapeutic BF includes sanitation bronchoscopy in patients with chronic broncho-pulmonary diseases such as chronic bronchitis, COPD, bronchiectasis and others. Medical BF cleaning helps patients with sputum evacuation difficulties, as well as making possible to inject antimicrobial and other medications directly into the bronchial tree. Through the bronchoscope we can affect inflamed parts of endobronchial surface using the low power laser.

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Rigid Bronchoscopy (RB)

This was preceded the flexible bronchoscopy. It was invented at the end of the 19th century by Gustav Killian and functioned until Shigeto Ikeda introduced flexible bronchoscope in 1966, but novel bronchoscopy techniques led to reintroduction of rigid bronchoscopy. Advanced rigid bronchoscope has processor, video monitoring system, biopsy forceps with telescope. An adjustable camera which facilitates the projection and recording of the procedure is an indispensable accessory of a therapeutic endoscopy unit. This equipment makes it possible for the entire team to be aware of what is happening in the operating field. Rigid bronchoscopy performed under general anesthesia in the operating room. RB allows performing such modern therapeutic methods as airway stenting, laser resection, bronchoblocation and others.

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Endobronchial Biopsy (EB)

This is the only diagnostic method for obtaining tissue from the endobronchial tumours in cases of suspected lung cancer. Without histo-morphological verification it is impossible to conduct chemotherapy treatment to patients with lung cancer. Commonly Endobronchial biopsy performed under the local anesthesia using biopsy forceps, brushes, fine needles for transbronchial fine needle aspiration (TFNA). It is non-invasive, brief, but very informative procedure that verifies the type of cancer and allows the oncologist to carry out the optimal treatment of chemotherapy.

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Airway Stenting (AS)

This is the main indication to relief of symptoms consistent with airway obstruction from either a malignant or benign obstruction that has failed other medical, surgical, or endoscopic therapies. In malignancy, stents provide excellent sustainable palliation for progressive symptoms in patients whose conditions have been considered terminal. Stent insertion can be an emergent life-saving procedure allowing relief of acute respiratory distress from airway obstruction. It can allow withdrawal from the mechanical ventilator in patients who could not otherwise be extubated.

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Laser Resection (LR)

This is the most commonly recognized endobronchial treatment that the interventional pulmonologist uses today. It is used extensively for the palliation of symptoms of airway obstruction secondary to malignancies, and it provides effective therapy for benign airway lesions and stenosis. In selected patients, laser therapy has been shown to improve quality of life and functional status, and, in some cases, to extend survival. Palliation of symptoms from malignant airway obstruction is the most common indication for endobronchial laser therapy. Bronchoscopic laser therapy is a relatively safe procedure.

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Valve Bronchoblocation (VB)

Promising new approach for both acute and chronic conditions of the lung and for treating diseased lung in emphysematous patients or damaged lung resulting in air leaks. The valve is a device placed in selected lung airways and limits the airflow to the occluded areas of the lung while still allowing mucus and trapped air to pass by outside of the valve in proximal direction. For the treatment of air leaks, the valve limits airflow to injured tissue. Prolonged post-surgery, persistent as well as spontaneous secondary air leaks have been treated successfully. Published case reports showed a 94% success rate of treatment of prolonged air leaks. For the treatment of emphysema, the valves allow total occlusion of single lobes with atelectasis.

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