Safety and Diagnostic Yield of Echobronchoscopy-Guided Transvascular Punction

Choukri, Marwan Mohamed; Giménez, Alfonso Ortega; Izquierdo, Alejandro Córdova; Morales, Mabell Romelia Zúñiga; Flandes, Javier

doi:10.1016/j.chest.2020.05.264

Cited by 1 publication

(6 citation statements)

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“…Table 1 shows the characteristics and outcomes of included studies. Of the 17 studies, 11 were full‐text articles 11–14,17,19,21,23–26 and six were conference abstracts 10,15,16,18,20,22 . Only three studies reported on intraabdominal lesions 20,21,24 while the rest reported on intrathoracic lesion.…”

Section: Resultsmentioning

confidence: 99%

“…The search strategy yielded 173 records of which 114 were screened after removal of duplicate records. After assessing for eligibility, a total of 17 studies 10–26 with 411 patients were included in the final analysis. Figure 1 shows the PRISMA flowchart for study selection and inclusion.…”

Section: Resultsmentioning

confidence: 99%

“…Supplementary Table 1 shows the details of study quality analysis using a modified Newcastle‐Ottawa scale. Among the included studies, four were of high‐quality, 14,23–25 nine of medium‐quality 10–13,15,17,19,21,26 and four of low‐quality 16,18,20,22 …”

Section: Resultsmentioning

confidence: 99%

“…The search strategy yielded 173 records of which 114 were screened after removal of duplicate records. After assessing for eligibility, a total of 17 studies [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] with 411 patients were included in the final analysis.…”

Section: Study Characteristics and Quality Analysismentioning

confidence: 99%

“…Among the included studies, four were of high-quality, 14,[23][24][25] nine of mediumquality [10][11][12][13]15,17,19,21,26 and four of low-quality. 16,18,20,22…”

Section: Study Characteristics and Quality Analysismentioning

confidence: 99%

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Efficacy and safety of endosonography‐guided transvascular needle aspiration of thoracic and abdominal lesions: A systematic review and meta‐analysis

Giri

Harindranath

Angadi

et al. 2023

J of Clinical Ultrasound

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Background The diagnosis of intrathoracic and abdominal masses is challenging when lesions are located behind major vessels. Endoscopic ultrasound (EUS) or endobronchial ultrasound (EBUS)‐guided transvascular needle aspiration (TVNA) provides a potentially useful diagnostic tool for such lesions. Data with respect to the safety and outcome of E‐TVNA are scarce. Hence, this meta‐analysis was conducted to assess the critical role of E‐TVNA for diagnosis of various lesions. Methods and Material A meta‐analysis was performed by pooling the data from studies obtained from comprehensive search of Medline, Embase, and Scopus from January 2000 to September 2022. The outcomes analyzed included sample adequacy, diagnostic accuracy and adverse events including bleeding. Results A total of 17 studies (n = 411) were included in the final analysis. The pooled rate of sample adequacy was 91.5% [95% confidence interval (CI): 86.8–96.2], while the pooled rate of diagnostic accuracy was 85.0% (95% CI: 78.9–91.2). The pooled rate of bleeding with E‐TVNA was 1.4% (95% CI 0.0–3.1%). All the episodes of bleeding were mild and resolved without any further intervention. There was no significant heterogeneity with respect to various outcomes and results were comparable on sensitivity analysis. Conclusions E‐TVNA offers a safe and accurate diagnostic modality for the diagnosis of mediastinal and abdominal lesions located on the other side of major vessels. Selection of potential candidates and close periprocedural observation are essential to improve the outcome.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Characteristics and Quality Analysismentioning

confidence: 99%

“…Among the included studies, four were of high-quality, 14,[23][24][25] nine of mediumquality [10][11][12][13]15,17,19,21,26 and four of low-quality. 16,18,20,22…”

Section: Study Characteristics and Quality Analysismentioning

confidence: 99%

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