Site of Bronchoalveolar Lavage Via Flexible Bronchoscopy and Fluid Return in Children
Background: Despite its widespread use as a diagnostic tool, the procedure for bronchoalveolar lavage (BAL) via flexible bronchoscopy is not standardized in children. Our objective was to examine the dissimilarities in fluid return between the different lobes in children undergoing flexible bronchoscopies with BAL. Methods: We conducted a review of all pediatric flexible bronchoscopies with BAL conducted at a single institution over a 2-year period. Our predictor of interest was the site of the BAL. Our outcome of interest was the percent of fluid return. We used 1-way analysis of variance with subsequent pairwise compari...
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Transbronchial Cryobiopsy in Interstitial Lung Disease: Are We on the Right Path?
Conclusions: A transbronchial lung cryobiopsy using a flexible cryoprobe has a good diagnostic yield and might be an alternative to consider in cases of diffuse ILD in which a histologic sample is required for diagnosis. This technique could avoid a large number of surgical biopsies. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Intrabronchial Infusion of Autologous Blood Plus Thrombin for Intractable Pneumothorax After Bronchial Occlusion Using Silicon Spigots: A Case Series of 9 Patients With Emphysema
Conclusion: Intrabronchial infusion of autologous blood plus thrombin was effective for intractable pneumothoraces that could not be clinically managed, even by bronchial occlusion using silicon spigots. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Safety and Efficacy of Radial EBUS for the Investigation of Peripheral Pulmonary Lesions in Patients With Advanced COPD
Conclusion: R-EBUS is safe and accurate for the investigation of PPL in patients with advanced COPD. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Fellowship Training in Lung Transplantation
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Editorials Source Type: research

Recommendation of Combination of Radial Endobronchial Ultrasound With Virtual Bronchoscopic Navigation
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - July 1, 2016 Category: Respiratory Medicine Tags: Editorials Source Type: research

Cyst Rupture After Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Extramedullary Plasmacytoma Presenting With Acute Airway Compromise, Treated With Emergent Rigid Bronchoscopic Resection
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

The pH-Glucose Relationship in Malignant Pleural Effusion
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Management of Noncommunicating Multiloculated Pleural Space Infection With Fibrinolytic Augmented Multiple Chest Tube Drainage
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

An Unusual Cause of Hemoptysis: Tracheopathia Osteochondroplastica
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Editorial Excellence Award Journal of Bronchology & Interventional Pulmonology
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Announcement Source Type: research

Fiducial Marker Placement Via Convex Probe EBUS
The efficacy of low-dose computed tomography screening is likely to increase the number of early-stage lung cancers identified. The aging population, as well as increase in number of patients with multiple comorbidities, suggests that nonsurgical techniques such as stereotactic body radiotherapy will be vital in treating such malignancies. Convex probe endobronchial ultrasound facilitates the identification of mediastinal and hilar lymph nodes, in addition to central lung tumors. Using a simple modification of the transbronchial needle aspiration technique, we describe a method for placing fiducial markers into isolated ce...
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Tools of the Trade Source Type: research

Negative EBUS-TBNA Predicts Very Low Prevalence of Mediastinal Disease in Staging of Non–Small Cell Lung Cancer
Conclusion: The prevalence of mediastinal nodal disease following negative EBUS-TBNA is very low, at 4.9%. The per-node NVP of EBUS-TBNA is 0.95, decreasing to 0.89 in moderate-high risk patients. We suggest that a negative EBUS-TBNA of mediastinal nodes does not need to be confirmed by mediastinoscopy of those nodal stations, regardless of PET/CT findings. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Brief Reports Source Type: research

Pulmonary Parenchymal Lymphoma Diagnosed by Bronchoscopic Cryoprobe Lung Biopsy
A 51-year-old man presented with progressively worsening lung infiltrates and respiratory failure. Extensive investigations including bronchoscopy with bronchoalveolar lavage and conventional transbronchial forceps biopsies failed to establish the diagnosis. After transfer to our institution, he underwent repeat bronchoscopy with transbronchial cryobiopsy, which provided large, high-quality biopsy specimens establishing the diagnosis of parenchymal diffuse large B-cell lymphoma. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Brief Reports Source Type: research

Pulmonary Epithelioid Hemangioendothelioma Diagnosed With Endobronchial Biopsies: A Case Report and Literature Review
We report the case of a 46-year-old man with a diagnosis of PEHE from endobronchial biopsies of an intraluminal nodule, a rare presentation of this disease. We summarize a review of the literature and the bronchoscopic findings of PEHE. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Brief Reports Source Type: research

Endobronchial Ultrasound–guided Aspiration of an Endotracheal Bronchogenic Cyst: Case Report and Systematic Review of the Literature
The most common location of bronchogenic cysts is the mediastinum, adjacent to the major airways. Endotracheal bronchogenic cysts are rare and most present in infancy with respiratory failure. Although surgical resection has remained the treatment of choice, there is increasing interest in the management of these cysts with therapeutic aspiration alone. In this article, we describe a 68-year-old man with endotracheal bronchogenic cyst who was managed with endobronchial ultrasound–guided needle aspiration. We also systematically review the literature for reports of endotracheal bronchogenic cysts. The review identifie...
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Use of Indwelling Pleural Catheter for Recurrent Pleural Effusion Due to Postpericardiotomy Syndrome: A Case Report
We report the use of IPC for a case of recurrent pleural effusion due to PPS in a gentleman that could not tolerate anti-inflammatory medications. To our knowledge, there has been no other report of the use of IPC due to recurrent pleural effusion from PPS. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Bacterial Pericarditis Accompanied by Sudden Cardiac Tamponade After Transbronchial Needle Aspiration Cytology
A 48-year-old man was referred for an abnormal shadow in his chest x-ray. Transbronchial needle aspiration cytology was performed at the mediastinal necrotic lymph node #7, and he was diagnosed as having small cell carcinoma. Fifteen days after bronchoscopy, sudden cardiac tamponade occurred and pericardial drainage suggested a diagnosis of bacterial pericarditis. He was successfully treated by drainage and administration of antibiotics. Complication of bacterial pericarditis associated with bronchoscopy is rare. However, physicians should watch for the appearance of this condition for up to 3 weeks after bronchoscopy, esp...
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Cystic Pulmonary Myxoid Liposarcoma Mimicking Endobronchial Blood Clot
In conclusion, this case conveys 2 messages. First, pulmonary metastasis of myxoid liposarcoma can appear as cyst secondary to endobronchial tumoral growth. Second, endobronchial blood clots should always be sent for pathologic analysis. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Pleuroscopy With a Bronchoscope
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Images in Interventional Pulmonology Source Type: research

Pleural Lymphoma
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Images in Interventional Pulmonology Source Type: research

Ultrasound-guided Pleural Effusion Drainage With a Small Catheter Using the Single-step Trocar or Modified Seldinger Technique
Conclusion: Ultrasound-guided pleural effusion drainage by catheter insertion is a safe and effective procedure. The success rate is low when the effusion is loculated and septated. Both the trocar and the modified Seldinger techniques can be used. The trocar technique is faster and easier. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Awareness, Competencies, and Practice Patterns in Tracheobronchomalacia: A Survey of Pulmonologists
Conclusion: This survey exposes deficits among pulmonologists in their ability to confidently and correctly diagnose and manage TBM. These deficits are not surprising as our understanding of this clinical entity is evolving. There exists a need for further education of pulmonologists about TBM and a need to promote collaborative efforts through research and expert consensus committees to progress our knowledge and management of this disease. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Role of Bronchoscopy in Prompt Discharge From the Intensive Care Unit
Conclusion: The majority of patients in our cohort (75%) of benign and malignant etiology could be promptly (within 2 d postbronchoscopy) transferred out from ICU to general ward after successful discontinuation of mechanical ventilation and extubation after bronchoscopic intervention. We advocate early recognition and bronchoscopic intervention in suitable patients. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Evaluation of Endoscopically Deployed Radiopaque Tumor Models in Bronchoscopy
Conclusion: Both contrast-infused agarose and tripe models present a promising analog to a pulmonary lesion and may act as a radiopaque marker for bronchoscopic training and biopsy evaluation. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

A Prospective Analysis of the Efficacy and Complications Associated With Deep Sedation With Midazolam During Fiberoptic Bronchoscopy
Background: Moderate sedation has been commonly used for fiberoptic bronchoscopy (FB). However, patients may find FB under moderate sedation to be unpleasant. We therefore examined whether deep sedation was a useful premedication for FB. Methods: We designed a prospective, randomized study using a patient questionnaire to address the perceptions of the procedures and complications of patients who underwent FB with deep sedation (deep sedation group) with midazolam in comparison with those who underwent FB with moderate sedation (moderate sedation group) with the same drug. Patients were asked to grade FB as being easy or ...
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Intrapleural Fibrinolytic Therapy in Patients With Nondraining Indwelling Pleural Catheters
Conclusion: On the basis of our finding of successful flow restoration with few complications, we recommend intrapleural tPA treatment for symptomatic patients with nondraining IPCs in the setting of persistent pleural fluid. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Bronchoscopy for Pulmonary Peripheral Lesions With Virtual Fluoroscopic Preprocedural Planning Combined With EBUS-GS: A Pilot Study
Conclusion: VFPP was easy to prepare and useful for selecting target bronchi. This study confirms feasibility of the VFPP as an adjunct to minimally invasive transbronchial biopsy of pulmonary peripheral lesions. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Biomechanical Properties of Airway Stents: Implications for Clinical Practice
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Editorials Source Type: research

Interventional Pulmonology: Marching Forward Together
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - April 1, 2016 Category: Respiratory Medicine Tags: Editorials Source Type: research

Reply to: A Rapid Infuser System for Whole-Lung Lavage
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

A Rapid Infuser System for Whole-Lung Lavage
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Bilateral Hemotympanum Following Diagnostic Bronchoscopy
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

The “Inverted Square Root Sign”: A Sign of Critical Variable Central Airway Obstruction During Mechanical Ventilation
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Factors Determining Successful Diagnostic Yield of Conventional Transbronchial Needle Aspiration in the Diagnosis of Sarcoidosis
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Online Articles: Letters to the Editor Source Type: research

Peripheral Bronchoscopy Training Using a Human Cadaveric Model and Simulated Tumor Targets
This report describes the development of a human cadaveric model with artificially implanted tumor targets designed to train physicians on aspects of peripheral bronchoscopy, including electromagnetic navigation and radial probe endobronchial ultrasound. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Brief Reports Source Type: research

Follicular Lymphoma Diagnosed With Medical Thoracoscopy
We describe an unusual case of recurrent pleural effusion secondary to follicular lymphoma with no other known extrathoracic involvement at the time of diagnosis. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Brief Reports Source Type: research

Orange-Pigmented Sputum as a Manifestation of Smoke Grenade Inhalation Injury
A 34-year-old man presented with scanty hemoptysis, orange-colored expectoration, and mild dyspnea. He was in an enclosed building taking part in a military training exercise inhaling an orange-colored smoke from a smoke grenade ignition. His symptoms developed immediately after the initial exposure but he sought medical assistance 20 hours later because of their persistence. Fiberoptic bronchoscopy was performed revealing diffuse inflammatory tracheobronchial tree with streaky orange-pigmented secretions in the trachea and both main-stem bronchi. Acute tracheobronchitis was diagnosed and the patient was treated with nebul...
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Brief Reports Source Type: research

A Novel Technique for the Placement of Endobronchial Watanabe Spigots Into the Bronchus: Side-Grasping Method
In this study, we assess a new technique, the side-grasping method, to maneuver the spigot into the target bronchus by using rotatable biopsy forceps to grasp the edge of the graspable part of the EWS. The aim of this study is to evaluate the effectiveness of this new technique for the simple placement of the EWS. Methods: To compare the number of bronchoscopists who were able to place the EWS correctly within 10 minutes, and the time needed to place each spigot for both methods into 4 canine bronchi. Results: More bronchoscopists correctly placed the EWS within 10 minutes using the side-grasping method compared with the c...
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: How I Do It Source Type: research

Endobronchial Ultrasound-Radial Probe–Assisted Cryobiopsy for Peripheral Lung Mass: A New Way for Better Yield?
We report a case of solitary pulmonary nodules where EBUS-RP was used to guide a cryoprobe to get large transbronchial cryobiopsies successfully. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Pulmonary Abscess as a Complication of Transbronchial Lung Cryobiopsy
We present the case of a 49-year-old man who developed pulmonary abscess as a complication of transbronchial lung cryobiopsy. He had been receiving prednisone therapy, but otherwise had no specific risk factors for lung abscess. Cryobiopsy is a novel technique for obtaining peripheral lung parenchymal tissue for the evaluation of diffuse parenchymal lung diseases. Cryobiopsy is being increasingly proposed as an alternative to surgical lung biopsy or conventional bronchoscopic transbronchial forceps biopsy, but the safety profile of the procedure has not been fully appreciated. Pulmonary abscess has been rarely reported as ...
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Case Reports Source Type: research

Localized Pleural Metastases of Renal Cell Carcinoma After Nephrectomy: A Case Report and Literature Review
We herein report the case of a 61-year-old Japanese male with localized pleural metastases of renal cell carcinoma. The patient was admitted to our hospital because of dyspnea on exertion and left-sided pleural effusion. He had undergone right radical nephrectomy 10 years previously. Contrast-enhanced whole-body computed tomography revealed scattered nodular thickening of the left pleura with contrast enhancement and left-sided pleural effusion. Thoracoscopy performed under local anesthesia was applied to obtain a biopsy of the pleural nodules, and the specimen was consequently diagnosed as exhibiting pleural metastasis of...
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Case Reports Source Type: research

An Unusual Spectacle of Hemoptysis in Leukocytoclastic Vasculitis
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Images in Interventional Pulmonology Source Type: research

Transient Bronchial Wall Thickening After Bronchial Thermoplasty for Asthma
No abstract available (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Images in Interventional Pulmonology Source Type: research

Convex Endobronchial Ultrasound-Guided Fiducial Placement for Malignant Central Lung Lesions: A Case Series
Conclusion: Convex-probe EBUS is a useful tool in the placement of fiducial markers in patients with malignant lymphadenopathy and central parenchymal lung lesions. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Randomized Trial Comparing Patient Comfort Between the Oral and Nasal Insertion Routes for Linear Endobronchial Ultrasound
Conclusions: For linear EBUS, the nasal and oral approaches confer a similarly high degree of patient comfort with similar complication rates and diagnostic yield. Patient and physician preferences should dictate the route of insertion. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

A Multicenter Experience With the Placement of Self-Expanding Metallic Tracheobronchial Y Stents
Conclusion: The insertion of a metallic Y stent results in immediate palliation of malignant airway obstruction or airway fistulization near the tracheal carina with rapid improvement of symptoms. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

A Survey of Bronchoscopy Practice in Australia and New Zealand
Conclusions: This survey shows that there is a large variation in bronchoscopy practices both generally and between different groups of bronchoscopists, yet it is a safe procedure. An important finding was the significantly high utilization of the services of anesthetists for sedation and their different sedative choices, including the use of propofol. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Original Investigations Source Type: research

Comparison of Transbronchial and Cryobiopsies in Evaluation of Diffuse Parenchymal Lung Disease
Conclusion: TBLC used with TBLB can improve the diagnostic yield of flexible bronchoscopy in patients with DPLD. (Source: Journal of Bronchology and Interventional Pulmonology)
Source: Journal of Bronchology and Interventional Pulmonology - December 28, 2015 Category: Respiratory Medicine Tags: Original Investigations Source Type: research