Fluoroscopic-Guided Radial Endobronchial Ultrasound Without Guide Sheath For Peripheral Pulmonary Lesions: A Safe And Efficient Combination.

Details

Serval ID
serval:BIB_046D78F7CDBC
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Fluoroscopic-Guided Radial Endobronchial Ultrasound Without Guide Sheath For Peripheral Pulmonary Lesions: A Safe And Efficient Combination.
Journal
Archivos de bronconeumologia
Author(s)
Casutt A., Prella M., Beigelman-Aubry C., Fitting J.W., Nicod L., Koutsokera A., Lovis A.
ISSN
1579-2129 (Electronic)
ISSN-L
0300-2896
Publication state
Published
Issued date
07/2015
Peer-reviewed
Oui
Volume
51
Number
7
Pages
338-343
Language
english spanish
Notes
Publication types: Evaluation Studies ; Journal Article

Abstract
Several guidelines recommend computed tomography scans for populations with high-risk for lung cancer. The number of individuals evaluated for peripheral pulmonary lesions (PPL) will probably increase, and with it non-surgical biopsies. Associating a guidance method with a target confirmation technique has been shown to achieve the highest diagnostic yield, but the utility of bronchoscopy with radial probe endobronchial ultrasound using fluoroscopy as guidance without a guide sheath has not been reported.
We conducted a retrospective analysis of bronchoscopy with radial probe endobronchial ultrasound using fluoroscopy procedures for the investigation of PPL performed by experienced bronchoscopists with no specific previous training in this particular technique. Operator learning curves and radiological predictors were assessed for all consecutive patients examined during the first year of application of the technique.
Fifty-one PPL were investigated. Diagnostic yield and visualization yield were 72.5 and 82.3% respectively. The diagnostic yield was 64.0% for PPL ≤20mm, and 80.8% for PPL>20mm. No false-positive results were recorded. The learning curve of all diagnostic tools showed a DY of 72.7% for the first sub-group of patients, 81.8% for the second, 72.7% for the third, and 81.8% for the last.
Bronchoscopy with radial probe endobronchial ultrasound using fluoroscopy as guidance is safe and simple to perform, even without specific prior training, and diagnostic yield is high for PPL>and ≤20mm. Based on these findings, this method could be introduced as a first-line procedure for the investigation of PPL, particularly in centers with limited resources.
Keywords
Biopsy/adverse effects, Biopsy/instrumentation, Biopsy/methods, Biopsy, Fine-Needle/instrumentation, Biopsy, Fine-Needle/methods, Bronchoscopy/methods, Endosonography/methods, Fluoroscopy/methods, Hemorrhage/etiology, Humans, Learning Curve, Lung Diseases/diagnosis, Lung Diseases/diagnostic imaging, Lung Diseases/pathology, Lung Neoplasms/diagnosis, Lung Neoplasms/diagnostic imaging, Lung Neoplasms/pathology, Radiography, Interventional/methods, Retrospective Studies, Ultrasonography, Interventional/methods, bronchoscopy, broncoscopia, ecografía endobronquial con sonda radial, lesiones pulmonares periféricas, peripheral pulmonary lesion, radial probe endobronchial ultrasound
Pubmed
Web of science
Create date
21/05/2015 11:54
Last modification date
20/08/2019 13:26
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