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An Algorithmic Approach for Assessment of Mediastinal Lesions Using Conventional Transbronchial Needle Aspiration and Endoscopic Ultrasonography in a Single Procedure
Joint Authors
Amjadi, Kayvan
Burkett, Andrew
Sekhon, Harmanjatinder S.
Burkett, Craig
Hakim, Shaheed W.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-06-14
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
In the era of endobronchial/esophageal ultrasound (EBUS-TBNA/EUS-FNA), many centers forgo conventional transbronchial needle aspiration (C-TBNA) in favour of EBUS-TBNA/EUS-FNA despite no conclusive evidence showing better yields with EBUS-TBNA/EUS-FNA.
Objectives.
Assess the feasibility of an algorithmic approach for mediastinal sampling beginning with C-TBNA utilizing rapid onsite cytologic evaluation.
Methods.
Descriptive analysis of 92 consecutive patients referred for adenopathy that underwent C-TBNA and subsequent EBUS-TBNA/EUS-FNA if C-TBNA was negative or nondiagnostic.
Results.
92 procedures were analyzed.
In 50 (54.3%) of cases, C-TBNA alone was sufficient.
EBUS-TBNA was performed after C-TBNA in 27 (29.3%) of cases and EUS-FNA in 33 (35.9%) of cases.
The yield was 92.9% for C-TBNA, 92.5% for EBUS-TBNA, and 89.7% for EUS-FNA.
There were no statistically significant differences in yields by LN station (P=0.51), the relationship between yield and LN size (P=0.37), or time difference in procedures following the algorithm compared to EBUS/EUS only procedures (33.7 minutes versus 32.4 minutes on average [95% CI for difference: −9.1 to 11.7], P=0.80).
Conclusions.
An algorithmic approach to assess the mediastinum using C-TBNA initially is feasible without sacrificing yield or procedure times.
C-TBNA was sufficient for diagnosis in 54.3% of cases and can be efficiently taught in an IP training program.
American Psychological Association (APA)
Burkett, Andrew& Sekhon, Harmanjatinder S.& Burkett, Craig& Hakim, Shaheed W.& Amjadi, Kayvan. 2017. An Algorithmic Approach for Assessment of Mediastinal Lesions Using Conventional Transbronchial Needle Aspiration and Endoscopic Ultrasonography in a Single Procedure. Canadian Respiratory Journal،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1150790
Modern Language Association (MLA)
Burkett, Andrew…[et al.]. An Algorithmic Approach for Assessment of Mediastinal Lesions Using Conventional Transbronchial Needle Aspiration and Endoscopic Ultrasonography in a Single Procedure. Canadian Respiratory Journal No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1150790
American Medical Association (AMA)
Burkett, Andrew& Sekhon, Harmanjatinder S.& Burkett, Craig& Hakim, Shaheed W.& Amjadi, Kayvan. An Algorithmic Approach for Assessment of Mediastinal Lesions Using Conventional Transbronchial Needle Aspiration and Endoscopic Ultrasonography in a Single Procedure. Canadian Respiratory Journal. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1150790
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150790