Endobronchial biopsy of an intrapulmonary arterial mass.
Endobronchial biopsy of an intrapulmonary arterial mass.
复制标题
肺内动脉肿块的支气管内活检。
DOI：
10.1097/lbr.0b013e3182814b02
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发表时间：
2013
影响因子：
3.3
通讯作者：
Arenberg,Douglas
中科院分区：
文献类型：
--
作者：
Horowitz,JeffreyC;Kleaveland,Kathryn;Arenberg,Douglas
我们报告一例经支气管内超音波引导下肺内动脉肿块活检。在转诊机构尝试使用支气管镜引导（包括EBUS）和计算机断层扫描引导方法进行诊断失败后，患者被转诊至我中心。我们尝试用EBUS镜在上叶支气管插管，但锐角和狭窄的开口不允许内镜观察肿块或周围解剖结构。我们继续通过穿过左主肺动脉游离壁对肿块进行活检，获得了诊断组织，没有并发症。患者从手术室出院，并由其转诊医生进行随访。
We report a case of endobronchial ultrasound (EBUS)-guided biopsy of an intrapulmonary arterial lung mass. The patient was referred to our center after unsuccessful attempts to get the diagnosis using bronchoscopic-guided (including EBUS) and computed tomography-guided approaches at the referring institution. We attempted to cannulate the upper lobe bronchus with the EBUS scope, but the sharp angle and narrow orifice would not permit the scope to view the mass or surrounding anatomy. We proceeded with biopsy of the mass by traversing the left main pulmonary arterial free wall and obtained diagnostic tissue without complications. The patient was discharged from the procedure unit and followed up with her referring physician.