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Radial-EBUS: CryoBiopsy Versus Conventional Biopsy: Time-Sample and C-Arm

Introduction: Diagnosis of lung nodules is still under investigation. We use computed tomography scans and positron emission tomography in order to identify their origin. Patients and Methods: In our retrospective study, we included 248 patients with a single lung nodule or multiple lung nodules of...

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Detalles Bibliográficos
Autores principales: Zarogoulidis, Paul, Kosmidis, Christoforos S., Hohenforst-Schmidt, Wolfgang, Matthaios, Dimitrios, Sapalidis, Konstantinos, Petridis, Dimitrios, Perdikouri, Eleni-Isidora, Courcoutsakis, Nikos, Hatzibougias, Dimitris, Arnaoutoglou, Christos, Freitag, Lutz, Ioannidis, Aristeidis, Huang, Haidong, Tolis, Christos, Bai, Chong, Turner, J. Francis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8955438/
https://www.ncbi.nlm.nih.gov/pubmed/35329255
http://dx.doi.org/10.3390/ijerph19063569
Descripción
Sumario:Introduction: Diagnosis of lung nodules is still under investigation. We use computed tomography scans and positron emission tomography in order to identify their origin. Patients and Methods: In our retrospective study, we included 248 patients with a single lung nodule or multiple lung nodules of size ≥1 cm. We used a radial-endobronchial ultrasound and a C-Arm. We used a 1.1 mm cryoprobe versus a 22G needle vs. forceps/brush. We compared the sample size of each biopsy method with the number of cell-block slices. Results: Central lesions indifferent to the method provided the same mean number of cell-block slices (0.04933–0.02410). Cryobiopsies provide less sample size for peripheral lesions due to the higher incidence of pneumothorax (0.04700–0.02296). Conclusion: The larger the lesion ≥2 cm, and central, more cell-blocks are produced indifferent to the biopsy method (0.13386–0.02939). The time of the procedure was observed to be less when the C-Arm was used as an additional navigation tool (0.14854–0.00089).