Severe Complications of Ultrasound Guided Transbronchial Needle Aspiration – A Case Series and Review of the Literature

Giesa, Christian; Heining, L.; Hecker, Erich; Ewig, Santiago

doi:10.1055/s-0041-109383

Cited by 8 publications

(4 citation statements)

References 32 publications

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“…However, few cases of EBUS-TBNA related massive haemorrhage have been reported in literature. In a case series, Giesa et al ( 10 ) described a case of a delayed massive hemoptysis. In another study ( 11 ), an early fatal massive haemoptysis in a patient with coagulation factors deficiency has been reported.…”

Section: Discussionmentioning

confidence: 99%

A fatal case of post endobronchial ultrasound transbronchial needle aspiration endobronchial haemorrhage: a case report and review of the literature

Mucilli¹,

Bonelli²,

Rosato³

et al. 2021

Mediastinum

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Notwithstanding life-threatening haemorrhagic complications, endobronchial ultrasound-guided transbronchial needle aspiration represents a cornerstone in the evaluation of NSCLC patients. Due to its low invasiveness and satisfactory tolerability even in high-risk patients, it is usually scheduled in one-day surgery hospital stay. Moreover, EBUS-TBNA offers a viable alternative to other conventional endoscopic procedures such as mediastinoscopy with the addiction to gain access also to hilar nodes. We report an unexpected and rare event of post-bronchoscopy fatal endobronchial haemorrhage in a 67-year-old female patient with a right S1 solitary pulmonary nodule and concomitant multiple bilateral lymphadenopaties. According to clinical staging the patient was unfit for upfront surgery and endoscopic procedure for tissue diagnosis was scheduled. The immediate postoperative period was uneventful as no intraoperative injuries were reported. Twenty-four hours later, the patient claimed respiratory distress and, after admission to the Emergency Department, a massive and uncontrolled bleeding coming from the lower respiratory tract was diagnosed leading to a death. Although one-day surgery EBUS-TBNA is the standard of care in patients undergoing endoscopic exploration, current guidelines seem to be murky about proper case stratification in order to plan an exhaustive observation time especially in high-risk patients.

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Section: Discussionmentioning

confidence: 99%

A fatal case of post endobronchial ultrasound transbronchial needle aspiration endobronchial haemorrhage: a case report and review of the literature

Mucilli¹,

Bonelli²,

Rosato³

et al. 2021

Mediastinum

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“…The risk of complications from EBUS-TBNA is very low and could only be documented in case series or retrospective reviews [27,28]. In large centers in which numerous EBUS examinations are performed each year, a complication rate of 0.05 % of examinations is reported [28].…”

Section: Complications Of Ebus-tbnamentioning

confidence: 99%

“…Komplikationen der EBUS-TBNA Das Komplikationsrisiko einer EBUS-TBNA ist sehr gering und konnte nur in Kasuistiken oder retrospektiven Übersichtsarbeiten erfasst werden [27,28]. In großen Zentren, in denen eine Vielzahl EBUS-Untersuchungen pro Jahr durchgeführt wird, wird eine Komplikation bei 0,05 % der Untersuchungen berichtet [28].…”

Section: Noteunclassified

Endobronchial Ultrasound (EBUS) – Update 2017

Darwiche¹,

Özkan²,

Wolters³

et al. 2018

Ultraschall in Med

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Endobronchial ultrasound (EBUS) has revolutionized the diagnosis of lung cancer over the last decade. This minimally invasive diagnostic method has also become increasingly important in the case of other diseases such as sarcoidosis, thereby helping to avoid unnecessary diagnostic interventions. This review article provides an update regarding EBUS and discusses current and future developments of this method.

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“…Das Komplikationsrisiko einer EBUS-TBNA ist sehr gering und konnte nur in Kasuistiken oder retrospektiven Übersichtsarbeiten erfasst werden [27,28]. In großen Zentren, in denen eine Vielzahl EBUS-Untersuchungen pro Jahr durchgeführt wird, wird eine Komplikation bei 0,05 % der Untersuchungen berichtet [28].…”

Section: Komplikationen Der Ebus-tbnaunclassified

Endobronchialer Ultraschall (EBUS) – Update 2017

Darwiche¹,

Özkan²,

Wolters³

et al. 2017

Pneumologie

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Endobronchial Ultrasound (EBUS) with the two modalities curved and radial EBUS significantly improved the diagnostics in several pulmonary diseases. The examination and staging of mediastinal and hilar lymph nodes in patients with known or suspected lung malignancy as well as the evaluation of unknown pulmonary or mediastinal lesions can be achieved with minimal invasive means when using EBUS. More invasive surgical procedures for diagnostic purposes can be omitted. The diagnostic yield also increases when EBUS is applied in sarcoidosis or mediastinal lymph node tuberculosis but only to some extend in case of lymphoma. Samples obtained by EBUS-TBNA should be handled efficiently to allow molecular analysis in lung cancer. EBUS is a safe procedure, and complication rate is extremely low. Further advances of the EBUS technology focus on improving analysis of the information provided by the ultrasound image and a better tissue sampling by developing of new EBUS bronchoscopes and TBNA-needles.

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Severe Complications of Ultrasound Guided Transbronchial Needle Aspiration – A Case Series and Review of the Literature

Cited by 8 publications

References 32 publications

A fatal case of post endobronchial ultrasound transbronchial needle aspiration endobronchial haemorrhage: a case report and review of the literature

A fatal case of post endobronchial ultrasound transbronchial needle aspiration endobronchial haemorrhage: a case report and review of the literature

Endobronchial Ultrasound (EBUS) – Update 2017

Endobronchialer Ultraschall (EBUS) – Update 2017

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