Transesophageal Bronchoscopic Ultrasound-Guided Fine-Needle Aspiration for Metastatic Vertebral Body Lesion
Malignant neoplasms frequently cause vertebral metastases. Traditionally, either image-guided percutaneous biopsy or open biopsy has been performed for sampling specimens for the definitive diagnosis. We herein report a case with suspected multiple metastases but unknown primary, who underwent endobronchial ultrasound–guided transbronchial needle aspiration for mediastinal lymph nodes with negative results by rapid onsite cytologic evaluation, followed by the transesophageal approach with the ultrasound bronchoscope for the vertebral body lesion at the same setting that provided a definitive diagnosis of metastatic h...
Source: Journal of Bronchology and Interventional Pulmonology - March 23, 2017 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Mediastinal Bronchogenic Cysts: Demonstration of Fluid-Fluid Level in Bronchoscopic US Imaging
We report the findings for 2 patients with a fluid-fluid level seen on endobronchial ultrasound (EBUS) images of bronchogenic cysts. The EBUS images demonstrated a well-circumscribed cyst with a fluid-fluid level showing an anechoic upper part and a relatively hyperechoic lower part. A fluid-fluid level on EBUS imaging of a bronchogenic cyst, which can help confirm the cystic nature of the lesion, has not been previously reported. EBUS-based confirmation of these cysts using fluid-fluid levels may help avoid unnecessary aspiration of the lesions. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - March 23, 2017 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Endobronchial Embryonal Carcinoma
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - March 23, 2017 Category: Respiratory Medicine Tags: Images In Interventional Pulmonology Source Type: research

Pseudoaneurysm of Aorta Presenting as Endobronchial Mass
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - March 23, 2017 Category: Respiratory Medicine Tags: Images In Interventional Pulmonology Source Type: research

Experience With the Use of Single-Use Disposable Bronchoscope in the ICU in a Tertiary Referral Center of Singapore
Conclusions: SB is equivalent in performance to CB in ICU. In addition, the SB may confer clinical, economic, and logistical advantages over the CB. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - March 23, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

A Single US Center Experience of Transbronchial Lung Cryobiopsy for Diagnosing Interstitial Lung Disease With a 2-Scope Technique
Conclusion: TBLC with a 2-scope technique could be an alternative method for diagnosing various types of ILD in patients unfit for surgical lung biopsy. Further prospective studies should clarify its role in the diagnostic armamentarium for undiagnosed ILDs. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - March 23, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Bronchoscopy: Oral or Nasal Insertion?
Background: Flexible bronchoscopy is a frequently used procedure for the diagnosis and treatment of various lung disorders. As there is no standardized guideline on the insertion of the bronchoscope, and few studies are available on the subject, we conducted a prospective randomized controlled trial to compare nasal and oral insertion. Methods: In total, 66 patients who underwent bronchoscopy without sedation were randomly assigned to either oral or nasal insertion. Primary and secondary outcome parameters were time to pass the vocal chords (VC) from first insertion and willingness to return (WTR). Results: Time to pass ...
Source: Journal of Bronchology and Interventional Pulmonology - March 23, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Pulmonologist-Performed Per-Esophageal Needle Aspiration of Parenchymal Lung Lesions Using an EBUS Bronchoscope: Diagnostic Utility and Safety
Conclusions: Pulmonologist-performed EUS-B-FNA is safe and accurate in the evaluation parenchymal lung lesions. Diagnostic accuracy is high. EUS-B-FNA may achieve access to sites not amenable to other forms of bronchoscopic sampling, or increase diagnostic accuracy in patients where anatomic position predicts a low diagnostic yield. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - March 23, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

EBUS-STAT Subscore Analysis to Predict the Efficacy and Assess the Validity of Virtual Reality Simulation for EBUS-TBNA Training Among Experienced Bronchoscopists
Conclusions: Virtual reality simulation is capable of providing a practical learning tool for practitioners with previous experience in flexible bronchoscopy, and the EBUS-STAT questionnaire is capable of detecting these changes. A pretraining EBUS-STAT score below 79 is a good indicator of those candidates who will benefit from the simulation training. Further studies are needed to verify whether a modified version of the questionnaire would be capable of improving its performance among experienced bronchoscopists. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - March 23, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Our Experience on Silicone Y-Stent for Severe COPD Complicated With Expiratory Central Airway Collapse
Conclusions: Our study showed significant decrease in mMRC score with stenting for ECAC in severe COPD. For 2 patients, we experienced severe complications during short-term follow-up period after stenting. Additional follow-up bronchoscopic interventions were required. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - March 23, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Bronchoscopy Safety in Patients With Chronic Obstructive Lung Disease
Background: Flexible bronchoscopy is a safe and minimally invasive diagnostic tool used by pulmonologists, but few studies have prospectively compared outcomes in patients with objectively defined obstructive lung disease to those without obstruction. Methods: We determined whether complications in patients undergoing moderate sedation bronchoscopy differ in those without obstruction compared with chronic obstructive pulmonary disease (COPD). We prospectively followed all patients undergoing moderate sedation bronchoscopy in an inpatient or outpatient setting. Results: Over 12 months, data were collected prospectively in...
Source: Journal of Bronchology and Interventional Pulmonology - March 23, 2017 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Anticipating, Preventing, and Treating Complications in Patients With Limited Pulmonary Reserve
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - March 23, 2017 Category: Respiratory Medicine Tags: Editorials Source Type: research

Flip or Flop?
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - March 23, 2017 Category: Respiratory Medicine Tags: Editorials Source Type: research

Endoscopic Laser Management of a Leiomyoma of the Left Main Stem Bronchus
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

The Use of Extracorporeal Membrane Oxygenation in the Bronchoscopic Management of Critical Upper Airway Obstruction
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Etiology of Malignant Pleural Effusion and Utilization of Diagnostic and Therapeutic Procedures: A Nationwide Analysis
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

“Jaws of Steel” After Very Low Dose of Fentanyl During Prebronchoscopy Sedation
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

A Pulmonary Artery Sling and In Vitro Fertilization
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

A Case of Birt-Hogg-Dubé, Presenting With Recurrent Pneumothorax, Managed With Intrabronchial Valve Placement
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Catch of the Day
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Endobronchial Prostate Metastasis
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Interventional Pulmonologist and Thoracic Surgeon: A Difficult but Necessary Relationship
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Fatal Progressive Membranous Obliterative Bronchitis: A Sequela of Influenza?
Occlusion of the bronchial orifices by tissue-like structures is an uncommonly reported finding: it has been referred to as bronchial webs, bronchial synechiae, vanishing bronchus syndrome, or membranous obliterative bronchitis. It differs from bronchiolitis obliterans, a well-described clinical entity that involves smaller airways not visualized on bronchoscopy. Although initially only recognized as a congenital condition, later reports have described it in situations where chronic inflammation results in the irritation of the airways. Here we report a case of a woman with postinfectious bronchiectasis who developed membr...
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Brief Report Source Type: research

An Atypical Case of Mounier-Kuhn Syndrome: Time to Change the Diagnostic Approach?
Mounier-Kuhn syndrome (MKS) is a rare disease of unknown etiology characterized by abnormal pathologic dilatation of tracheabronchial tree. The diagnosis of MKS is normally made on CT scan of chest on the basis of enlarged diameters of trachea and main stem bronchi. We are presenting histologically confirmed case of MKS, where the diameter of right main bronchus is below minimum diameter (mean+3 SD) required for the diagnosis. We suggest that the diagnosis of MKS should not be solely based on fixed criteria such as the diameter of airways, but on the basis of the overall clinical, pathologic, and radiologic profile. (Sourc...
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

The Intranodal Presence of Coexisting Granulomatous Inflammation and Carcinoma During Transbronchial Needle Aspiration of Intrathoracic Lymphadenopathy
We present a case of coexisting granulomatous inflammation and metastatic carcinoma within the same lymph node aspirates, reviewing the potential diagnostic pitfalls and implications of this rare occurrence. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Mediastinitis: A Serious Complication of Endobronchial Ultrasound–guided Transbronchial Needle Aspiration
We present 3 cases of mediastinitis following these diagnostic procedures. In 2 of the patients oropharyngeal bacteria were found in the cultures from the mediastinal abscess. All 3 cases were treated successfully with thoracotomy and drainage of the abscess together with intravenous antibiotics. On the basis of these cases and an updated review of the literature we discuss the most likely etiology for mediastinitis in association with EBUS-TBNA and EUS-FNA procedures and propose how to reduce the risk for this serious complication. The possibility of mediastinitis should always be kept in mind when a patient complains of ...
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Spontaneous Regression of Endobronchial Carcinoid Tumor
We present a patient with SR of an endobronchial carcinoid, followed by serial bronchoscopies and biopsy over a 24-month period. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Minimally Invasive but Maximally Obstructive: Carcinoma In Situ Obstructing a Mainstem Bronchus
Here we report a case of mainstem bronchus obstruction due to a carcinoma in situ. Preinvasive lesions, such as carcinoma in situ, are usually small and limited to the bronchial wall. This exceptional presentation shows a tumor growth large enough to completely occlude the right mainstem bronchus. The endoluminal lesion was removed using rigid bronchoscopy. The patient, not eligible for a local treatment, has been treated with surgery. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Severe Necrotizing Tracheobronchitis From Panton-Valentine Leukocidin–positive MRSA Pneumonia Complicating Influenza A-H1N1-09
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Images in Interventional Pulmonology Source Type: research

Tracheobronchial Airway Necrosis: An Atypical Presentation of Recurrent Osteosarcoma
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Images in Interventional Pulmonology Source Type: research

Conventional Transbronchial Needle Aspiration Versus Endobronchial Ultrasound–guided Transbronchial Needle Aspiration, With or Without Rapid On-Site Evaluation, for the Diagnosis of Sarcoidosis: A Randomized Controlled Trial
Background: Endobronchial ultrasound–guided transbronchial needle aspiration (EBUS-TBNA) as a standalone modality is superior to conventional TBNA (c-TBNA) for the diagnosis of sarcoidosis. However, the overall yield is not different if combined with endobronchial biopsy (EBB) and transbronchial lung biopsy (TBLB). The utility of rapid on-site evaluation (ROSE) in a comparative evaluation of EBUS-TBNA versus c-TBNA for the diagnosis of sarcoidosis has not been previously evaluated. Methods: Eighty patients with suspected sarcoidosis were randomized 1:1:1:1 into 4 groups: c-TBNA without ROSE (TBNA-NR), c-TBNA with RO...
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Mixing It Up: Coadministration of tPA/DNase in Complicated Parapneumonic Pleural Effusions and Empyema
Conclusions: Our study shows intrapleural coadministration of tPA/DNase was effective and safe in management of CPEE. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Diagnostic Yield of Electromagnetic Navigation Bronchoscopy Using a Curved-tip Catheter to Aid in the Diagnosis of Pulmonary Lesions
Conclusions: This study suggests that the curved-tip catheter is a useful modality for diagnosing peripheral pulmonary lesions with ENB. The diagnostic yield of ENB using this catheter was superior to that reported in other studies utilizing straight catheters. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Intrabronchial Voriconazole is a Safe and Effective Measure for Hemoptysis Control in Pulmonary Aspergilloma
Conclusion: Intrabronchial voriconazole instillation seems to be a safe and effective modality for hemoptysis control in pulmonary aspergilloma. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Management of Foreign Body Removal in Children by Flexible Bronchoscopy
Conclusion: In an optimized clinical setting, flexible bronchoscopy can be regarded as a feasible procedure to remove airway FB through a laryngeal mask. Short-term and long-term outcome is favorable. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Hippocrates Quoted “If an Empyema Does Not Rupture, Death Will Occur”: Is Medical Thoracoscopy Able to Make It Rupture Safely?
Conclusion: It seems that S-MT is a minimally invasive, safe and effective procedure for the treatment of pleural empyema with very good results in early stages of the disease and reduced time of hospital stay. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Diagnostic Yield and Complications of EBUS-TBNA Performed Under Bronchoscopist-directed Conscious Sedation: Single Center Experience of 1004 Subjects
Conclusion: EBUS-TBNA/EUS-B-FNA performed under bronchoscopist-guided conscious sedation was found to be safe and is associated with a reasonable diagnostic yield. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Bronchoscopist-guided Sedation in EBUS-TBNA: Can the Pitcher Also be a Hitter?
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Editorials Source Type: research

“Noninterventional Pulmonology”: Birth of a New Subspecialty With Emergence of Interventional Pulmonology
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 21, 2016 Category: Respiratory Medicine Tags: Editorials Source Type: research

Spontaneous Pneumothorax Complicating Chronic Hepatic Hydrothorax: Successful Treatment by Small Bore Chest Tube
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Bite Block for Interventional Pulmonology: Novelty at No Cost
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Glue in Hemoptysis
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Formation of Obstructive Fibrinous Pseudomembrane Following Self-Expanding Metallic Airway Stent Placement
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Endobronchial Silicosis and Tuberculosis Presenting as the Right Middle Lobe Syndrome
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Dislodgement of Radial EBUS-Guide Sheath Radiopaque Cuff: A Rare Complication
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Intractable Pneumothorax Treated With Endobronchial Watanabe Spigots
Pneumothorax secondary to nontuberculous mycobacterial lung disease is often intractable and associated with high mortality. An endobronchial Watanabe spigot (EWS) is a silicon plug developed for bronchoscopic bronchial occlusion. Here we report a case of intractable pneumothorax secondary to nontuberculous mycobacterial lung disease successfully treated using EWSs. Occlusion of the multiple ectatic bronchi connected to the bronchopleural fistula was essential for optimal effect of the EWSs. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Brief Reports Source Type: research

Primary Laryngotracheal Amyloidosis With Bilateral Vocal Cord Involvement and Associated Bronchiectasis
We present a patient with the primary (AL) form of localized laryngotracheal amyloidosis with pre-existing bronchiectasis, and also review the existing literature on this disease. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Brief Reports Source Type: research

Thoracic Extramedullary Hematopoiesis Mimicking Metastatic Cancer
We describe the bronchoscopic management of a case of EMH presenting as a mediastinal mass, mimicking malignancy. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Bronchoscopic Multimodal Management of Tracheal Neurofibroma
Neurofibromas involving airways are rare and their management is usually surgical. Herein, we report the case of an endotracheal polypoid neurofibroma successfully treated by multimodal interventional bronchoscopy and cryotherapy. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Diagnosing Hodgkin Lymphoma From an Endobronchial Ultrasound Core Needle Biopsy
We present a case of HL presenting as isolated mediastinal adenopathy that was definitively diagnosed on EBUS using a 22 G coring needle in which cellular and histologic specimens were obtained, allowing the core biopsy to be fixed in formalin and treated as a surgical specimen. The patient started treatment soon after the procedure without requiring any further invasive tests. Although it seems intuitive that a coring EBUS needle would be advantageous in diseases such as HL, further studies are needed before definitive recommendations can be made. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - October 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research