98%
921
2 minutes
20
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10325757 | PMC |
http://dx.doi.org/10.1097/CM9.0000000000002355 | DOI Listing |
Background: With the advent of low-dose computed tomography (CT) screening, minimally invasive evaluation of pulmonary lesions has become increasingly important. This study aimed to assess factors influencing the diagnostic yield of novel bronchoscopic transparenchymal nodule access (BTPNA) method for diagnosing pulmonary lesions in a real-world clinical setting.
Methods: This retrospective study evaluated patients who underwent BTPNA with or without real-time image guidance for pulmonary lesion assessment.
Respirology
May 2025
Department of Pulmonary Medicine, Division of Interventional Pneumology, University Hospital Essen - Ruhrlandklinik, Essen, Germany.
Background And Objective: Diagnosing intraparenchymal pulmonary lesions lacking a bronchus sign remains challenging. Bronchoscopic transparenchymal nodule access (BTPNA) for reaching such lesions has seen limited clinical adoption due to insufficient evidence and practical challenges. This study evaluates the feasibility and diagnostic yield of a modified BTPNA (mBTPNA) technique-referred to as the 'Essen tunnel'-which eliminates the need for a guide sheath.
View Article and Find Full Text PDFEur J Med Res
August 2024
Department of Respiratory Diseases, The First Affiliated Hospital of Zhejiang University School of Medicine, Zhejiang University, 79 Qingchun Road, Hangzhou, Zhejiang, China.
Background: The diagnosis of peripheral pulmonary lesions (PPL) is still challenging. We describe a novel method for sampling PPL without bronchial signs by creating invisible tunnel under electromagnetic navigation without the transbronchial access tool (TABT).
Methods: During electromagnetic navigation, we adjust the angle of the edge extended working channel catheter based on the real-time position of the lesion in relation to the locating guide rather than preset route.
Respiration
November 2024
State Key Laboratory of Respiratory Health and Multimorbidity, Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Diseases, Institute of Respiratory Medicine, Chinese Academy
Introduction: Endobronchial ultrasound (EBUS)-guided transbronchial mediastinal cryobiopsy (TBMC) is increasingly used to diagnose mediastinal lymphadenopathy. Various methods have been used to create a tunnel between the airway wall and the lesions for this procedure, such as electrocautery and penetration with the sheath of the needle for EBUS-transbronchial fine needle aspiration. However, those methods are complex.
View Article and Find Full Text PDFZhonghua Jie He He Hu Xi Za Zhi
August 2024
Department of Pulmonary and Critical Care Medicine, Shengli Oilfield Central Hospital, Dongying 257000, China.
Virtual bronchoscopic navigation (VBN) is increasingly being used to diagnose peripheral lung lesions, allowing precise guidance of the bronchoscope to the target lesions, thereby improving diagnostic accuracy. This paper reported a patient admitted due to hemoptysis, with an initial clinical diagnosis of squamous cell lung carcinoma with brain and bone metastases. Previous attempts had failed to obtain tissue samples from the lung lesions.
View Article and Find Full Text PDF