Pleuroscopic cryoprobe biopsies of the pleura: A feasibility and safety study

Thomas, Rajesh; Karunarathne, Shanka; Jennings, Bethany; Morey, Sue; Chai, Siaw Ming; Lee, Gary; Phillips, Martin J.

doi:10.1111/resp.12441

Cited by 51 publications

(45 citation statements)

References 24 publications

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“…ese ndings also accord with previous studies [19,20] that found CB during exi-rigid pleuroscopy was safe.…”

Section: Discussionsupporting

confidence: 82%

“…Rozman et al reported the assessed degree of bleeding was slight and self-limited, as expected after biopsy and no further interventions were needed [20]. omas et al indicated that mild bleeding was observed in their FFB (4/22) group and CB (5/22) group [19]. Our study also indicated that the incidence of mild bleeding was similar between the CB group (8/92) and FB group (6/92).…”

Section: Discussionsupporting

confidence: 74%

“…omas et al reported that CB (10 mm, 7-15.8) was larger than FFB (4 mm, 3-8) and had better preserved cellular architecture and tissue integrity. Crushed artifacts were less common with CB (2/22) compared with FFB (21/22), and both FFB and CB made de nitive diagnoses in 15/15 (100%) and 14/14 (100%) [19]. Maturu et al also showed that CB was signi cantly larger (P � 0.001) when compared with FFB (9.17 ± 1.84 versus 3.75 ± 0.96 mm), and that crushed artifacts were more frequent with FFB as compared with CB (3/4 versus 0/6).…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have shown that CB during exi-rigid pleuroscope is feasible, safe, and e ective [19][20][21]. However, most of these studies were conducted either with small populations or retrospectively.…”

Section: Introductionmentioning

confidence: 99%

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Feasibility and Safety of Pleuroscopic Cryobiopsy of the Pleura: A Prospective Study

Chen

Cheng

et al. 2017

Interventional Pulmonology

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Background. e aim of this study was thus to evaluate the feasibility and safety of taking biopsy specimens by cryoprobe from the parietal pleura during semirigid pleuroscope. Methods. In a single-center, observational, prospective study, patients with exudative pleural e usion (EPE) were evaluated with a semirigid pleuroscope between January 2015 and July 2017. Each patient underwent pleural biopsy using exible forceps and exible cryoprobe through pleuroscope following diagnostic thoracentesis and closed pleural biopsy (CPB). Results. A total of 92 patients (median age 64 years) were included in the study, most of whom were men (65.2%). Cytological cell block (CCB) and CPB made de nitive diagnoses in 32/92 (34.8%) and 25/92 (27.5%), respectively; exible forceps biopsy (FFB) and cryoprobe biopsy (CB) established de nitive diagnoses in 84/92 (91.3%) and 91/92 (98.9%), respectively. e sample obtained by CB (9.4 ± 4.9 mm) was signi cantly larger than the other two methods: FFB (4.2 ± 2.3 mm) or CPB (1.9 ± 1.0 mm) (P < 0.0001).e immunohistochemical (IHC) staining was more easily performed with CB (98.9%) compared to either FFB (87.0%) or CPB (13.0%).ere were no signi cant complications or procedure-related deaths. Conclusions. Based on these results, CB during semirigid pleuroscope has a high diagnostic yield, di erentiating EPE of unknown etiology with satisfactory e ectiveness and safety.

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“…ese ndings also accord with previous studies [19,20] that found CB during exi-rigid pleuroscopy was safe.…”

Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Feasibility and Safety of Pleuroscopic Cryobiopsy of the Pleura: A Prospective Study

Chen

Cheng

et al. 2017

Interventional Pulmonology

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“…The use of semirigid thoracoscopes is becoming more common, although one criticism frequently raised is whether they permit sufficient diagnostic tissue to be obtained in cases where the parietal pleura is diffusely thickened and resistant to sampling. This might be overcome by cryoprobe biopsy [151,152], although the routine use of this technique needs evaluation as part of a prospective multicentre trial. There have also been reports of the use of narrow-band imaging [153] and autofluorescence [154][155][156] during thoracoscopy as a means of identifying malignant change in the parietal pleura that is not otherwise macroscopically evident under white light inspection.…”

Section: Future Directionsmentioning

confidence: 99%

Advanced medical interventions in pleural disease

et al. 2016

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The burden of a number of pleural diseases continues to increase internationally. Although many pleural procedures have historically been the domain of interventional radiologists or thoracic surgeons, in recent years, there has been a marked expansion in the techniques available to the pulmonologist. This has been due in part to both technological advancements and a greater recognition that pleural disease is an important subspecialty of respiratory medicine. This article summarises the important literature relating to a number of advanced pleural interventions, including medical thoracoscopy, the insertion and use of indwelling pleural catheters, pleural manometry, point-of-care thoracic ultrasound, and image-guided closed pleural biopsy. We also aim to inform the reader regarding the latest updates to more established procedures such as chemical pleurodesis, thoracentesis and the management of chest drains, drawing on contemporary data from recent randomised trials. Finally, we shall look to explore the challenges faced by those practicing pleural medicine, especially relating to training, as well as possible future directions for the use and expansion of advanced medical interventions in pleural disease. @ERSpublications Technological advances and greater availability of techniques give a broad range of interventions for pleural disease http://ow.ly/ZNya2

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Pleural cryobiopsy during local anaesthetic thoracoscopy in dry pleural dissemination

Lao

Tanaka

Matsunaga

et al. 2019

Respirology Case Reports

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A minimally invasive thoracic intervention, such as local anaesthetic thoracoscopy, can be used to collect the samples in malignant pleural lesions. But cancerous pleurisy without pleural effusion, called dry pleural dissemination, is considered difficult to perform thoracoscopy from concerns about pleural injury. We present a diagnosed case of dry pleural dissemination safely sampled using cryobiopsy using flex‐rigid thoracoscope under local anaesthesia.

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Pleuroscopic cryoprobe biopsies of the pleura: A feasibility and safety study

Abstract: CB during flexi-rigid pleuroscopy is feasible, safe and effective. Its routine use during flexi-rigid pleuroscopy requires further evaluation.

Cited by 51 publications

References 24 publications

Feasibility and Safety of Pleuroscopic Cryobiopsy of the Pleura: A Prospective Study

Feasibility and Safety of Pleuroscopic Cryobiopsy of the Pleura: A Prospective Study

Advanced medical interventions in pleural disease

Pleural cryobiopsy during local anaesthetic thoracoscopy in dry pleural dissemination

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