Major Complications Associated with Conventional Transbronchial Needle Aspiration
| Autor: | Rabin Shrestha, Muhammad K. Zaman |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Lung Neoplasms medicine.drug_class Lumen (anatomy) 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Postoperative Complications Bronchoscopy Log data Biopsy medicine Humans Major complication Respiratory Tract Infections Aged Retrospective Studies medicine.diagnostic_test business.industry Medical record Anticoagulant Biopsy Needle General Medicine Middle Aged 030228 respiratory system Female Radiology Lymph Nodes Airway business |
| Zdroj: | Southern medical journal. 111(9) |
| ISSN: | 1541-8243 |
| Popis: | OBJECTIVES Transbronchial needle aspiration (TBNA) is a widely used sampling technique for diagnosis and staging of lesions centered around bronchoscopically accessible airways. We report our single-institution experience of complications associated with conventional TBNA (C-TBNA) performed in 606 consecutive cases. METHODS Electronic medical records with bronchoscopy log data of C-TBNAs performed from January 2003 to December 2016 were assessed. All of the cases were included for a review of complications related to the performance of C-TBNA. C-TBNAs were performed in conjunction with other bronchoscopic sampling techniques such as brush, biopsy, and wash in most cases. Complications ascribed to C-TBNA only were included for this analysis and review. RESULTS Infectious complications following the performance of TBNA are related to the inoculation of oropharyngeal bacteria from the airway lumen into the sterile mediastinal, pericardial, or pleural space. CONCLUSIONS Complications related to TBNA are underappreciated mainly because of the lack of reporting and awareness. These findings should lead to heightened awareness and precaution in all patients undergoing TBNA, and extra vigilance and monitoring during and after the procedure in those receiving anticoagulant and antiplatelet therapies. |
| Databáze: | OpenAIRE |
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