Per-Esophageal Needle Aspiration of Parenchymal Lung Lesions and Mediastinal Lymph Nodes Using an Endobronchial Ultrasound Bronchoscope.

CONCLUSIONS: Pulmonologist-performed EUS-B-FNA is safe and accurate for evaluating mediastinal and parenchymal lung lesions and lymphadenopathy. Diagnostic accuracy is high. EUS-B-FNA may allow access to sites not amenable to other forms of bronchoscopic sampling, or may increase diagnostic accuracy in patients where anatomic position predicts a low diagnostic yield. PMID: 31713362 [PubMed - indexed for MEDLINE]
Source: The Israel Medical Association Journal - Category: General Medicine Tags: Isr Med Assoc J Source Type: research

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This study investigate the effectiveness of radial endobronchial ultrasound – transbronchial biopsy (R-EBUS-TBB) with thin bronchoscope in peripheral lung lesions. We compared the diagnostic yields and complication rates of REBUS-TBB with CT-PTNB in a total of 199 patients with peripheral lung lesions. Of the total 199 men, 120 were men and the mean age was 67.6 ± 12.5 years. The left upper lobe was 61 (30.7%) and right upper lobe was 59 (29.6%). 68.8% of the 137 confirmed cases were diagnosed as malignant. The diagnotic accuracy of R-EBUS-TBB in 56 patients was lower than CT-PTNB in 179 patients with statisti...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Interventional pulmonology Source Type: research
We aimed to study the safety of propofol deep sedation managed by interventional pulmonologist in our centreObservational retrospective study of 900FB/EBUS between 2014-16. We collected epidemiological variables, indications, monitoring parameters and diagnostic procedures(DP)Sedation complications: oxygen saturation(SO2)160mmHg, SBP120bpm or HR160mmHg: 22%; SBP120bpm: 3% and HR
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Interventional Pulmonology Source Type: research
Conclusion: HT after bronchoscopy is a rare self-limiting condition and has only been reported once in the literature. There is minor risk of HT after bronchoscopy with excessive coughing due to upsurge in middle ear pressure.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Interventional Pulmonology Source Type: research
Conclusions: A new flexible 19-G EBUS needle was successfully and safely applied in a large patient cohort for sampling of lung and enlarged mediastinal lesions with high diagnostic rates across clinical indications.
Source: Journal of Bronchology and Interventional Pulmonology - Category: Respiratory Medicine Tags: Original Investigations Source Type: research
Authors: Youness HA, Keddissi J, Berim I, Awab A Abstract Although, bronchoscopy is a relatively safe procedure, small amount of bleeding in the airway can have serious consequences. Careful consideration of the risks of diagnostic and therapeutic bronchoscopic intervention can help minimize potential complications. With increasing number of patients using antiplatelet and anticoagulation therapies, strategies for minimizing thromboembolic and operative bleeding events need to be included in the risk and benefit analyses. Growing evidence suggests that aspirin is safe and does not increase bleeding during bronchosc...
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
To examine the airways in a minimally invasive fashion, bronchoscopy is the most used technique worldwide. Although the first bronchoscopy was a therapeutic one for the removal of a foreign body, until the 1970s the technique was more or less for diagnostic indications [1]. However, in recent years, bronchoscopy has experienced rapid development. More and more interventional techniques have been introduced, offering new options for patients [2]. In the early 2000s, endobronchial ultrasound-guided transbronchial needle aspiration was established, and cryoprobes are nowadays the preferred option for establishing the diagnosi...
Source: European Respiratory Review - Category: Respiratory Medicine Authors: Tags: Pulmonary pharmacology and therapeutics, Respiratory clinical practice Editorial Source Type: research
Abstract: To compare the performance of convex probe endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) with conventional endobronchial biopsy (EBB) or transbronchial lung biopsy (TBLB) in patients with mediastinal, and coexisting endobronchial or peripheral lesions. Retrospective review of records of patients undergoing diagnostic EBUS-TBNA and conventional bronchoscopy in 2014. A total of 74 patients had mediastinal, and coexisting endobronchial or peripheral lesions. The detection rate of EBUS-TBNA for mediastinal lesion>1 cm in short axis, EBB for visible exophytic type of endobronchial...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Conclusions: Radial-probe EBUS shows a good safety profile, a low complication rate, and high sensitivity for the diagnosis of peripheral pulmonary lesion s.RESUMO Objetivo: A broncoscopia convencional possui baixo rendimento diagn óstico para lesões pulmonares periféricas. A ecobroncoscopia radial (EBUS radial) emprega um transdutor ultrassonográfico rotatório na extremidade de uma sonda que é inserida no canal de trabalho do broncoscópio. O EBUS radial facilita a localização de nódulos pulmonares periféricos, aume ntando assim o rendimento diagn...
Source: Jornal Brasileiro de Pneumologia - Category: Respiratory Medicine Source Type: research
Conclusion: Aspirin use was not associated with increased risk of bleeding or procedure-related complications after therapeutic bronchoscopy.
Source: Therapeutic Advances in Respiratory Disease - Category: Respiratory Medicine Authors: Tags: Original Research Source Type: research
Conclusions The combination of VBN with conventional TBNA was advantageous and safe for the cytological diagnosis of small peribronchial pulmonary lesions in the middle third zone of the lungs.
Source: Respiratory Investigation - Category: Respiratory Medicine Source Type: research
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