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Complications with endobronchial ultrasound with a guide sheath for peripheral pulmonary lesions

Manabu Hayama, Takehiro Izumo, Yuji Matsumoto, Takaaki Tsuchida, Shinji Sasada, Norio Okamoto
European Respiratory Journal 2015 46: PA2196; DOI: 10.1183/13993003.congress-2015.PA2196
Manabu Hayama
1Department of Endoscopy, Respiratory Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan
2Department of Thoracic Malignancy, Osaka Prefectural Medical Center for Respiratory and Allergic Diseases, Osaka, Japan
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Takehiro Izumo
1Department of Endoscopy, Respiratory Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan
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Yuji Matsumoto
1Department of Endoscopy, Respiratory Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan
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Takaaki Tsuchida
1Department of Endoscopy, Respiratory Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan
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Shinji Sasada
1Department of Endoscopy, Respiratory Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan
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Norio Okamoto
2Department of Thoracic Malignancy, Osaka Prefectural Medical Center for Respiratory and Allergic Diseases, Osaka, Japan
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Abstract

Objective: Diagnostic bronchoscopy has been considered as one of the safe and effective procedures. Endobronchial ultrasound with a guide sheath (EBUS-GS) for diagnosis of peripheral pulmonary lesion (PPL) is becoming a common procedure but there has been no report about its safety. The aim of this study was to evaluate the safety profile of EBUS-GS for the diagnosis of PPLs.

Methods: All patients with PPLs who underwent EBUS-GS between September 2012 and August 2014 at National Cancer Center Hospital were included. Post-procedural complications and durability of devices were retrospectively reviewed.

Results: EBUS-GS procedures were performed for 965 PPLs during the study period. The overall complication rate was 1.3% (13/965); 0.8% (8/965) for pneumothorax and 0.5% (5/965) for pulmonary infection. There was no significant hemorrhage, air embolism, tumor seeding or procedure-related death. There was no breakage of guide sheath. Only four radial probes were broken during the study period without any adverse reaction on the patient.

Conclusion: EBUS-GS is a tolerable procedure and the devices are durable.

  • Bronchoscopy
  • Lung cancer / Oncology
  • Imaging
  • Copyright ©ERS 2015
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Complications with endobronchial ultrasound with a guide sheath for peripheral pulmonary lesions
Manabu Hayama, Takehiro Izumo, Yuji Matsumoto, Takaaki Tsuchida, Shinji Sasada, Norio Okamoto
European Respiratory Journal Sep 2015, 46 (suppl 59) PA2196; DOI: 10.1183/13993003.congress-2015.PA2196

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Complications with endobronchial ultrasound with a guide sheath for peripheral pulmonary lesions
Manabu Hayama, Takehiro Izumo, Yuji Matsumoto, Takaaki Tsuchida, Shinji Sasada, Norio Okamoto
European Respiratory Journal Sep 2015, 46 (suppl 59) PA2196; DOI: 10.1183/13993003.congress-2015.PA2196
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