Transpulmonary artery needle aspiration of hilar masses with endobronchial ultrasound: a necessary evil.
Transpulmonary artery needle aspiration of hilar masses with endobronchial ultrasound: a necessary evil.
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支气管内超声经肺动脉针吸肺门肿块：必要的邪恶。
DOI：
10.1097/lbr.0000000000000011
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发表时间：
2013
影响因子：
3.3
通讯作者：
W. Abouzgheib
中科院分区：
文献类型：
--
作者：
Z. Boujaoude;M. Pratter;W. Abouzgheib
肺门和纵隔淋巴结病的支气管内超声经支气管针吸活检（EBUS-TBNA）在出血并发症方面的安全性已得到充分证实。目标和周围结构的实时可视化允许操作员避免刺穿甚至是小血管。然而，有时，到达目标的唯一途径是穿越船只。我们报告了2例右肺门肿块，经肺动脉EBUS-TBNA成功诊断，无任何并发症。我们建议经皮穿刺动脉穿刺是安全的，但只能由有经验的操作者进行，并应保留作为最后的手段作出诊断。
The safety with regard to bleeding complications of endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) of hilar and mediastinal lymphadenopathy has been well established. The real-time visualization of targeted and surrounding structures allows the operator to avoid puncturing even small vessels. However, on occasions, the only way to reach the target is by traversing vessels. We report 2 cases of right hilar masses that were successfully diagnosed with EBUS-TBNA performed by traversing the pulmonary artery without any complications. We suggest that transpulmonary artery needle aspiration can be safely conducted but should be performed only by experienced operators and should be reserved as a last resort for making a diagnosis.