Biopsy needles for mediastinal lymph node sampling by endosonography: current knowledge and future perspectives

Colella, Sara; Scarlata, Simone; Bonifazi, Martina; Ravaglia, Claudia; Naur, Therese Maria Henriette; Pela, Riccardo; Clementsen, Paul Frost; Gasparini, Stefano; Poletti, Venerino

doi:10.21037/jtd.2018.11.35

Cited by 11 publications

(10 citation statements)

References 43 publications

(34 reference statements)

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“…The experience of the two patients indicates that the application of CEUS in re-biopsy is potentially a better choice when compared to the use of larger core needle for those with an unsuccessful diagnosis at the first puncture. Additionally, several previous studies suggest that larger needle size plays a slightly role for CNB of lymphoma (21)(22)(23)(24).…”

Section: Discussionmentioning

confidence: 94%

Clinical value of contrast-enhanced ultrasound in transthoracic biopsy of malignant anterior mediastinal masses

Han¹,

Feng²,

Xu³

et al. 2019

J Thorac Dis

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Background: Given low incidence and high heterogeneity, the treatment strategies of anterior mediastinal masses (AMMs) are diverse based on pathology. The purpose of the study is to evaluate the usefulness of contrast-enhanced ultrasound (CEUS) in transthoracic biopsy of malignant AMMs when compared with that of ultrasound (US) alone and to screen lesions that are more suitable for CEUS evaluation and guidance. Methods: We reviewed all the US-and CEUS-guided transthoracic core needle biopsy (CNB) of AMMs

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Section: Discussionmentioning

confidence: 94%

Clinical value of contrast-enhanced ultrasound in transthoracic biopsy of malignant anterior mediastinal masses

Han¹,

Feng²,

Xu³

et al. 2019

J Thorac Dis

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“…Endobronchial ultrasound (EBUS) is a technique recently developed by thoracic endoscopists for real-time ultrasound-guided needle biopsy of mediastinal lymph nodes for staging lung cancer [3]. It is carried out using a modified bronchoscope having a small ultrasound convex probe at the tip allowing to perform ultrasonography examination of the mediastinum by applying gentle pressure to the trachea or the bronchial inner surface (Fig.…”

Section: Introductionmentioning

confidence: 99%

Improved diagnosis of pulmonary embolism causing cardiac arrest by combined endobronchial ultrasound and echocardiography

Bertini

Ricci

Guarracino

2020

Cardiovasc Ultrasound

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Background Pulmonary embolism (PE) is a life-threatening disease difficult to diagnose and manage in severe hemodynamic unstable patients. Transoesophageal echocardiography (TEE) is considered useful to improve diagnosis, but such approach has physical limitations for the interposition of the airways preventing the clear assessment of the left pulmonary artery. Endobronchial ultrasound (EBUS), a recently developed technique carried out using a modified bronchoscope having a small ultrasound convex probe at the tip allowing to perform ultrasonography examination of the mediastinum, can extensively visualize the pulmonary arteries on both sides. Case presentation We present the first use of EBUS to rapidly diagnose and subsequently treat a 64 years old woman with history of lateral amyotrophic sclerosis admitted to the intensive care unit (ICU) for severe dyspnoea and rapidly experiencing a cardiac arrest. Conclusions Combined bedside EBUS and echocardiography allowed to rapidly diagnose the cause of cardiac arrest and avoid risks related to transferring the critical patient to the radiology department.

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“…However, all of those factors have been previously evaluated in a meta-analysis and no such association was demonstrated. 10 Moreover, our standard process of ≥ 50 needle strokes per target might seem controversial to the reader. The BTS 2011 Guideline for Advanced Bronchoscopy does not mention an optimum number of needle passes or strokes.…”

Section: Other Known Confoundersmentioning

confidence: 99%

Utilization of High-pressure Suction for EBUS-TBNA Sampling in Suspected Lung Cancer

Tsaknis

Naeem

Rathinam

et al. 2021

Journal of Bronchology &Amp; Interventional Pulmonology

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Background: Sample adequacy for immediate molecular testing is paramount in lung cancer. To date, several endobronchial ultrasound with transbronchial needle aspiration (EBUS-TBNA) sampling setups have been evaluated, however, the utilization of high-pressure suction (HPS) has not yet been reported. The aim of this study was to evaluate the utilization of HPS onto the needle and its effect on sample volume and adequacy for molecular testing in patients with suspected lung cancer.Methods: We retrospectively analyzed 128 consecutive EBUS-TBNA performed for suspected lung cancer. This was confirmed in 109 patients. Other diagnoses confirmed in 12, and 7 referred for surgery. Sixty-three patients (89 targets) had HPS (May to September 2020), and compared with 46 (72 targets) who had standard vacuum syringe suction (October 2019 to March 2020). Several parameters and outcomes evaluated, such as number of needle passes, needle strokes, needle size, target size, positron emission tomography avidity, procedure time, blood content score, sample volume, adequacy for molecular testing, as well as baseline patient characteristics and complication rate.Results: There was no difference between the 2 groups in all baseline parameters and characteristics. In multivariable analysis, HPS was associated with significantly higher sample volume (11.2 vs. 9.1 mm 3 , P = 0.036) and less additional procedures to achieve full molecular profiling (2/ 52 vs. 7/40, P = 0.042), in necrotic targets of non−small cell lung cancer. Diagnostic yields were comparable.Conclusion: HPS appears to be simple, no-cost, and safe, promising higher sample volume compared with vacuum syringe suction, and also appears to be associated with higher success of full molecular testing with less additional procedures, in non−small cell lung cancer necrotic targets.

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Biopsy needles for mediastinal lymph node sampling by endosonography: current knowledge and future perspectives

Cited by 11 publications

References 43 publications

Clinical value of contrast-enhanced ultrasound in transthoracic biopsy of malignant anterior mediastinal masses

Clinical value of contrast-enhanced ultrasound in transthoracic biopsy of malignant anterior mediastinal masses

Improved diagnosis of pulmonary embolism causing cardiac arrest by combined endobronchial ultrasound and echocardiography

Utilization of High-pressure Suction for EBUS-TBNA Sampling in Suspected Lung Cancer

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