Additional transbronchial needle aspiration through a guide sheath for peripheral pulmonary lesions that cannot be detected by radial EBUS

Hayama, Manabu; Izumo, Takehiro; Chavez, Christine; Tsuchida, Takaaki; Sasada, Shinji

doi:10.1111/crj.12413

Cited by 21 publications

(18 citation statements)

References 23 publications

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“…[618] On several occasions while performing radial EBUS, the probe cannot reach the center of the lesion; the lesion is thus visualized eccentrically on one side of the probe, rather than concentrically around the probe. The yield of EBUS is significantly less when the probe does not reach the center of the lesion as compared to the situation when it does.…”

Section: Discussionmentioning

confidence: 99%

“…have described the use of fluoroscopy-guided TBNA for lesions, which were not visualized by the radial EBUS probe. [6] Interestingly, the lesions that were not initially visible with radial EBUS became visible after performing the TBNA procedure. The authors attribute this to the phenomenon of the TBNA needle cutting open a passage through which the probe, when subsequently reinserted, can reach the lesion.…”

Section: Discussionmentioning

confidence: 99%

“…The subsequent introduction of radial endobronchial ultrasound (EBUS) revolutionized the diagnosis of intraparenchymal pulmonary lesions. [456] Apart from guiding transbronchial brushings and biopsies, the radial probe EBUS was also used for performing TBNA from lesions located adjacent to the airways. [57] However, the major drawback was that the procedure was not performed in real-time.…”

Section: Introductionmentioning

confidence: 99%

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Role of radial endobronchial ultrasound-guided transbronchial needle aspiration in the diagnosis of pulmonary nodules: Case report and literature review

et al. 2017

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The diagnosis of pulmonary nodules can be made using several methods including computed tomography (CT)-guided fine-needle aspiration (FNA), radial endobronchial ultrasound (EBUS)-guided sampling techniques (transbronchial lung biopsy [TBLB], transbronchial brush, bronchoalveolar lavage, or transbronchial needle aspiration [TBNA]), or occasionally with convex probe (CP) EBUS-TBNA. While CT-guided FNA is associated with a high (25%) rate of pneumothorax, the CP-EBUS cannot reach lesions beyond the interlobar region. Radial EBUS-guided TBLB and transbronchial brushing are excellent modalities in the evaluation of peripheral pulmonary lesions. However, these techniques cannot access lesions that are located adjacent to the proximal segmental bronchus, due to the presence of a cartilaginous wall. Herein, we describe a 58-year-old man, who presented with a lung nodule in the right middle lobe, wherein radial EBUS-guided TBNA proved to be the most appropriate diagnostic modality. We also discuss the current utility of radial EBUS-guided TBNA in day-to-day practice.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Role of radial endobronchial ultrasound-guided transbronchial needle aspiration in the diagnosis of pulmonary nodules: Case report and literature review

et al. 2017

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“…The same is true for size of the bronchoscope used. The use of GS-TBNA had been demonstrated for solid PPLs but not for GGOs alone (22). Use of ROSE, however, these studies comprised solid PPLs more than GGOs (23).…”

Section: Editorialmentioning

confidence: 99%

The many facets of diagnostic bronchoscopy for pulmonary ground glass nodules

Chavez

Izumo

2017

J. Thorac. Dis.

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“…The diagnostic benefit of EBUS-GS for PPLs was minimal when the probe was adjacent to the lesion (19). TBNA (passing a needle through the bronchial wall) can be the better solution if the EBUS probe was adjacent to the lesions (20,21). Suction catheter-biopsy is one technique for obtaining tissue sample from PPLs.…”

Section: Endobroncial Ultrasound Radial Probe (Ebus Rp)mentioning

confidence: 99%

Current advances of endobronchial ultrasonography in the diagnosis and staging of lung cancer

Lin

Yang

et al. 2016

J. Thorac. Dis.

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The diagnosis and staging of patients with lung cancer has relied on tissue sampling.Endobronchial ultrasound (EBUS) is a minimally invasive procedure for the rapid and safe acquisition of tissue and can be done easily and repeatedly. EBUS transbronchial needle aspiration (TBNA) is now the standard for diagnosis of mediastinal and hilar lymphadenopathy and should be considered in patients who have a high probability of lymph node metastases without systemic involvement. EBUS also provides guidance for biopsy of peripheral lung lesions. Recent advances of EBUS with new techniques help to improve the diagnostic yield and decrease the complication rate and total procedure time.

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Additional transbronchial needle aspiration through a guide sheath for peripheral pulmonary lesions that cannot be detected by radial EBUS

Abstract: GS-TBNA is a safe technique for PPL diagnosis and may be useful when the EBUS probe cannot reach the lesion.

Cited by 21 publications

References 23 publications

Role of radial endobronchial ultrasound-guided transbronchial needle aspiration in the diagnosis of pulmonary nodules: Case report and literature review

Role of radial endobronchial ultrasound-guided transbronchial needle aspiration in the diagnosis of pulmonary nodules: Case report and literature review

The many facets of diagnostic bronchoscopy for pulmonary ground glass nodules

Current advances of endobronchial ultrasonography in the diagnosis and staging of lung cancer

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