Uses, Limitations, and Complications of Endobronchial Ultrasound

Jalil, Bilal; Yasufuku, Kazuhiro; Khan, Amir

doi:10.1080/08998280.2015.11929263

Cited by 29 publications

(20 citation statements)

References 40 publications

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“…As with any medical advancement, EBUS-TBNA has its own limitations. EBUS-TBNA cannot sample all the lymph nodes stations and the success of the technique depends on the provider's skills (6). However, EBUS-TBNA has consistently shown >95% accuracy in diagnosis and staging of lung cancer in multiple prospective protocol-based studies (7,8).…”

Section: Introductionmentioning

confidence: 99%

“…In the 143 subjects, 117(81.8%) had PET/CT, and 26(18.2%) had only CT before EBUS-TBNA procedure. Four subjects were not included in the final analysis as the lymph nodes identified with pathology on surgery were not accessible by EBUS-TBNA (Intraparenchymal nodes and stations5,6,8,9). The mean interval between EBUS-TBNA and the surgical procedure was 39 days (ranging from 2 to 142 days).…”

mentioning

confidence: 99%

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Diagnostic Accuracy of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA) in Real Life

et al. 2020

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Background: EBUS-TBNA is an integral tool in the diagnosis and staging of lung cancer and other diseases involving mediastinal lymphadenopathy. Most studies attesting to the performance of EBUS-TBNA are prospective analyses performed under strict protocols. The objective of our study was to compare the accuracy of EBUS-TBNA to surgery in diagnosing hilar and mediastinal pathologies in a tertiary hospital, staffed by pulmonologists with and without formal interventional pulmonary training. Methods: We retrospectively analyzed subjects who underwent EBUS-TBNA followed by a confirmatory surgical procedure from January 2012 to December 2018. The primary outcome was to evaluate the accuracy of EBUS-TBNA in the diagnosis of all mediastinal disease. Secondary analyses determined the accuracy of EBUS-TBNA in cancer, NSCLC, and non-malignant lesions individually. Results: One hundred and forty-three subjects had an EBUS-TBNA procedure followed by surgery. EBUS-TBNA for all pathologies had an accuracy of 81.2% (CI 95% 73.8-87.4) and sensitivity of 55.1% (CI 95% 41.5-68.3). The accuracy and sensitivity of individual groups were: cancer (81.7, 48.8%), NSCLC (84, 48.3%), and non-malignancy (78.9, 60%). The NSCLC group had 15 false negatives and 5 (33.3%) of them were due to non-sampling of EBUS accessible nodes. Missed sampling led to a change in the final staging in 8.6% of NSCLC subjects. Conclusion: The accuracy of EBUS-TBNA across all groups was comparable to those reported previously. However, the sensitivity was comparatively lower. This was primarily due to the large number of EBUS-TBNA accessible lymph nodes that were not sampled. This data highlights the need for guidelines outlining the best sampling approach and lymph node selection.

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

Diagnostic Accuracy of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA) in Real Life

et al. 2020

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“…While all our patients underwent the procedure with the assistance of an anesthesiologist, it can also be performed under conscious sedation. Potential complications can include hypoxemia, hypotension, bleeding, pneumothorax, cardiac arrhythmias, bronchospasm, and laryngospasm (31). In our study, only one patient had reported a sore throat after the procedure; no other complications were noted.…”

Section: Discussionmentioning

confidence: 47%

“…In our study, only one patient had reported a sore throat after the procedure; no other complications were noted. In one multicenter study, the complication rate for various bronchoscopic procedures was 1% with a very low mortality rate of 0.02% (31). In a meta-analysis evaluating the effectiveness and complication rate of EBUS-TBNA, it was found that no studies reported serious complications.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Yield of Endobronchial Ultrasound-guided Transbronchial Needle Aspiration for Sarcoidosis

Shaikh¹,

Brownback²,

Quijano³

et al. 2017

Eurasian J Pulmonol

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“…However, compared to mediastinoscopy, endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is minimally invasive, with lower morbidity and mortality rates, and can be performed as an outpatient procedure and under conscious sedation. Therefore, EBUS-TBNA has become the first-line procedure for evaluation of mediastinal LNs (7).…”

Section: Introductionmentioning

confidence: 99%

The diagnostic accuracy of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in mediastinal tuberculous lymphadenitis

Erer¹,

Erol²,

Anar³

et al. 2017

Turk J Med Sci

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Uses, Limitations, and Complications of Endobronchial Ultrasound

Cited by 29 publications

References 40 publications

Diagnostic Accuracy of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA) in Real Life

Diagnostic Accuracy of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA) in Real Life

Diagnostic Yield of Endobronchial Ultrasound-guided Transbronchial Needle Aspiration for Sarcoidosis

The diagnostic accuracy of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in mediastinal tuberculous lymphadenitis

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