ROLE OF RADIAL ENDOBRONCHIAL ULTRASOUND-GUIDED CRYOBIOPSY IN THE DIAGNOSIS OF PERIPHERAL PULMONARY LESIONS: A CASE SERIES
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Authors: Sameer Arbat
Publication Date : 2019/10/1
Pages : A1061
Purpose: The diagnosis of peripheral pulmonary lesions (PPLs) may be challenging as they are bronchoscopically invisible. Radial endobronchial ultrasound (EBUS) is useful for accessing PPLs, with the help of TBLB and cryoprobe. Although PPLs can also be accessed with the help of transthoracic ultrasound or Computerised Tomography (CT)-guided Fine Needle Aspiration (FNA), there is a significant risk of pneumothorax.
Methods: This was a retrospective observational study. Patients with PPL on CT-Thorax were subjected for bronchoscopy. Radial EBUS via flexible bronchochoscope with Fluoroscope was used to determine the site and cryobiopsy were taken. Bleeding was controlled by endobronchial balloon placed through a rigid bronchoscope as conduit.
Results: Total 20 patients underwent radial EBUS with fluoroscopy guided cryobiopsy. Histopathological diagnosis was achieved in 17 (85 …