Radial Probe Ultrasound-Guided Cryobiopsy

Fluoroscopy-guided transbronchial forceps biopsy has a low diagnostic yield in patients with radiographic suspicion of interstitial lung disease. Cryobiopsy has a higher diagnostic yield likely due to preserved lung architecture and larger biopsies; however, there is an increased risk of major airwa...

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Bibliographic Details
Published inJournal of bronchology & interventional pulmonology Vol. 24; no. 2; p. 170
Main Authors Berim, Ilya G, Saeed, Ali I, Awab, Ahmed, Highley, Adam, Colanta, Agnes, Chaudry, Fawad
Format Journal Article
LanguageEnglish
Published United States 01.04.2017
Subjects
Aged
Aged, 80 and over
Bronchoscopy - adverse effects
Cryosurgery - adverse effects
Female
Fluoroscopy - instrumentation
Humans
Lung Diseases, Interstitial - diagnosis
Male
Middle Aged
Retrospective Studies
Ultrasonography - instrumentation
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Summary:Fluoroscopy-guided transbronchial forceps biopsy has a low diagnostic yield in patients with radiographic suspicion of interstitial lung disease. Cryobiopsy has a higher diagnostic yield likely due to preserved lung architecture and larger biopsies; however, there is an increased risk of major airway bleeding and pneumothorax. Simultaneous use of endobronchial balloon blocker allows for containment of bleeding after cryobiopsy to the affected lobe. In the current article we describe use of radial ultrasound in identification of a target lung parenchyma without a major blood vessel adjacent to distal bronchi. After fluoroscopic marking of the selected airway a 3 second cryobiopsy was performed after localization of cryoprobe. Simultaneous use of radial ultrasound and fluoroscopy can possibly decrease bleeding complication associated with cryobiopsy in patients with suspected interstitial lung disease.
ISSN:1948-8270
DOI:10.1097/LBR.0000000000000368