Intramural Hematoma of the Pulmonary Artery and Hemopneumomediastinum after Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration

Botana-Rial, Maribel; Núñez-Delgado, Manuel; Pallarés-Sanmartín, Abel; Leiro-Fernández, Virginia; Represas-Represas, Cristina; Silva, Ana Isabel González; Fernández-Villar, Alberto

doi:10.1159/000332925

Cited by 36 publications

(30 citation statements)

References 18 publications

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“…[5][6][7][8][9]12,14 The incidences of complications may vary depending on several factors. First, follow-up of patients to detect possible complications is not often a routine procedure, and lack of documentation is also an important factor, especially for minor complications.…”

Section: Discussionmentioning

confidence: 99%

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Complications of Convex-Probe Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration: A Multi-Center Retrospective Study

Çağlayan

Yılmaz²,

Bilaçeroğlu³

et al. 2015

Respir Care

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BACKGROUND: Infrequent serious complications of convex-probe endobronchial ultrasoundguided transbronchial needle aspiration (EBUS-TBNA) have been reported. The aim of this study was to assess serious complications related to convex-probe EBUS-TBNA and to determine the complication rate in a large group of subjects. METHODS: In this retrospective study, a 15-item questionnaire on features of cases with EBUS-TBNA complications was sent to experienced bronchoscopists performing convex-probe EBUS-TBNA at 3 pulmonary centers. The medical records were then reviewed by these bronchoscopists to complete the questionnaire. Hemorrhage responsive to topical treatment, temporary laryngospasm/bronchospasm, transient oxygen desaturation, and fever lasting <24 h were excluded. Only complications requiring further treatment/intervention were considered serious. The rate of serious complications was calculated from the obtained data. RESULTS: In a total of 3,123 cases within a 5-y period, EBUS-TBNA was performed for staging lung cancer in 15.8%, diagnosis in 67.5%, and diagnosis and staging in 16.3%. Of the 3,123, 11.6% had parenchymal lesions adjacent to major airways. EBUS-TBNA was performed 11,753 times (3.76/case) at 6,115 lymph node stations and lesions (1.92/station or lesion). Five serious complications were recorded (0.16%): fever lasting >24 h, infection of bronchogenic cyst, mediastinal abscess, pericarditis, and pneumomediastinitis with empyema, each in one case. Four complications occurred in cases diagnosed with benign disease by EBUS-TBNA. All complications were treated with broad-spectrum antibiotics. Four subjects were hospitalized for 21.7 ؎ 20.7 d. CONCLUSIONS: Convex-probe EBUS-TBNA is a safe method in general. However, serious complications, including infections, can be encountered rarely. All precautions should be taken for complications before and during the procedure.

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Section: Discussionmentioning

confidence: 99%

“…Considering the investigations and case reports reported in the literature, infectious complications constitute a significant proportion of serious complications ( [5][6][7][8]12,[17][18][19] ). In our series, all 5 serious complications were infections.…”

Section: Discussionmentioning

confidence: 99%

Complications of Convex-Probe Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration: A Multi-Center Retrospective Study

Çağlayan

Yılmaz²,

Bilaçeroğlu³

et al. 2015

Respir Care

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“…Another systematic review of 14 articles reported no complications [2]. The complications described in the literature have been minor bleeding [3], pneumothorax [1,4], intramural hematoma [5], pneumomediastinum [6], hemopneumomediastinum [5], bacteremia [7] and mediastinitis [8]. Steinfort et al [7] reported a 7% incidence of bacteremia following EBUS-TBNA, comparable to that detected after conventional bronchoscopy.…”

Section: Discussionmentioning

confidence: 99%

Localized Subcarinal Adenitis following Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration

Sánchez-Font

Alvarez²,

Ledesma

et al. 2015

Respiration

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Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive procedure for the diagnosis of mediastinal lymph nodes and masses. Its complications are rare and include hemorrhage, pneumothorax and infections such as mediastinitis. We report the case of a 51-year-old patient who presented with a localized subcarinal adenitis after EBUS-TBNA. Germs colonizing the oropharynx may have been dragged along by the echobronchoscope, inoculating the punctured mediastinal lymph node.

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“…EBUS-TBNA is also a safe procedure [43], but with the rapidly increasing number of procedures it is not surprising to read occasional reports of serious complications, such as pneumothorax requiring chest tube drainage [8], infection of bronchogenic cyst [46], empyema, lung and/or mediastinal abscess [47,48], haemopneumomediastinum [49] and even death [13].…”

Section: Convex Probe Ebus For Mediastinal Nodal Staging (N-factor)mentioning

confidence: 99%

Endobronchial ultrasound in the management of nonsmall cell lung cancer

et al. 2013

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Flexible bronchoscopy plays a major role in the diagnosis and staging of lung cancer. One of the most important advances in this field is the development of endobronchial ultrasound (EBUS), which has extended the view of the bronchoscopist. These techniques are safe and allow assessment of the depth of tumour invasion in the central airways, detection of peripheral tumours before sampling, localisation of the central tumour in the lung parenchyma close to the central airways for real-time guided sampling, and staging of lymph nodes within the mediastinum. Progress in handling and analyses of the small samples obtained during EBUS procedures also allow modern pathological and molecular studies to be performed. This article reviews the data currently available in the field of convex and radial probe EBUS for the diagnosis and staging of nonsmall cell lung cancer and highlights the strengths but also the weaknesses of these new techniques.

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Intramural Hematoma of the Pulmonary Artery and Hemopneumomediastinum after Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration

Cited by 36 publications

References 18 publications

Complications of Convex-Probe Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration: A Multi-Center Retrospective Study

Complications of Convex-Probe Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration: A Multi-Center Retrospective Study

Localized Subcarinal Adenitis following Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration

Endobronchial ultrasound in the management of nonsmall cell lung cancer

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