Autor: |
Thomas Gaisl, Silvia Ulrich, Maurice Roeder, Tsogyal D Latshang, Jürgen Hetzel, Carolin Steinack, Melanie Scarlett Mangold, Daniel P Franzen, Silvan M Vesenbeckh |
Jazyk: |
angličtina |
Rok vydání: |
2024 |
Předmět: |
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Zdroj: |
BMJ Open Respiratory Research, Vol 11, Iss 1 (2024) |
Druh dokumentu: |
article |
ISSN: |
2052-4439 |
DOI: |
10.1136/bmjresp-2024-002617 |
Popis: |
Background Limited data exist on the reliability, efficacy and safety of ultrasound-guided transbronchial cryobiopsy for suspicious mediastinal and hilar lesions. This study shares findings from implementing this method and compares the results with those of the standard endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA).Methods Patients undergoing diagnostic bronchoscopy for mediastinal or hilar lesions in four Swiss centres were included. The study aims to assess the diagnostic yield and safety of EBUS-guided cryobiopsy compared with EBUS-TBNA. Tunnelling to the target lesion was performed using an electric needle knife (70.8%), a 19 G- (12.4%) or a 22 G needle (16.8%). Cryobiopsies were obtained with a freezing time of 4–7 s (18.2% with a 1.7 mm probe) or 6–10 s (81.8% with a 1.1 mm probe).Results Altogether, 137 patients were enrolled with a median follow-up of 89 days. The overall diagnostic yield was 56.2% for EBUS-TBNA and 91.2% for cryobiopsies (p |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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