Convex-Probe Endobronchial Ultrasound Guided Placement of Fiducial Markers to Guide Stereotactic Body Radiotherapy: A Case Series

CHEST Journal ◽  
2015 ◽  
Vol 148 (4) ◽  
pp. 803A
Author(s):  
Benjamin Seides ◽  
Sara Greenhill ◽  
Kevin Kovitz ◽  
Neeraj Desai
Keyword(s):  
Stereotactic Body Radiotherapy ◽  
Case Series ◽  
Endobronchial Ultrasound ◽  
Fiducial Markers ◽  
Ultrasound Guided

scholarly journals Safety and diagnostic yield of endobronchial ultrasound-guided lymph node biopsy in children and adolescents with suspected tuberculosis

2021 ◽  
Author(s):  
Michael Barker ◽  
Annette Günther ◽  
Henrik Wurps ◽  
Andreas Gebhardt ◽  
Nicolas Schönfeld ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Diagnostic Yield ◽  
Sampling Site ◽  
Case Series ◽  
Positive Culture ◽  
Endobronchial Ultrasound ◽  
Gastric Aspirate ◽  
Ultrasound Guided ◽  
Transbronchial Needle Aspiration ◽  
Suspected Tuberculosis

Referring to a literature review published recently in this Journal, we report a single-center case series of 45 children and adolescents (age 2-17 years) with suspected tuberculosis (TB) and negative microscopy on repeated sputum or gastric aspirate samples. All subjects underwent flexible airway endoscopy including bronchoalveolar lavage (BAL) and endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) without adverse events. Among 41 subjects with a final TB diagnosis, Mycobacterium tuberculosis was detected by PCR and/or culture in 20 (49% bacteriological confirmation) with 11 cases relying exclusively on results from TBNA samples. Only 7 of 17 positive culture results related to sputum (17% confirmation rate), and 9 of 17 on the combination of sputum and BAL (22%) respectively. The sampling site of a person’s first positive culture was TBNA in 13 of 17 cases (76%). Bacteriological confirmation was essential for diagnostic accuracy and tailored treatment based on individual drug susceptibility testing. We therefore recommend the inclusion of bronchoscopy and EBUS-TBNA in a comprehensive diagnostic protocol for smear-negative pediatric TB suspects.

Transoesophageal endobronchial ultrasound-guided needle aspiration (EUS-B-NA) for poorly accessible thoracic lesions: a case series

2020 ◽  
Vol 13 (12) ◽  
pp. e239170
Author(s):  
David Quigley ◽  
Parthiban Nadarajan ◽  
Finbar O Connell
Keyword(s):  
Diagnostic Yield ◽  
Case Series ◽  
Needle Aspiration ◽  
Endobronchial Ultrasound ◽  
High Likelihood ◽  
Ultrasound Guided ◽  
Upper Airways ◽  
Ct Guided ◽  
Appropriate Treatment ◽  
Ct Guided Biopsy

Endobronchial ultrasound (EBUS) has long been a common diagnostic tool used in the diagnosis of pulmonary pathologies. In the last decade, increased interest has been shown in its usage via the oesophagus for sampling lesions inaccessible via the airways. We describe three cases in which we used this modality to biopsy lesions not visualised via conventional EBUS and which would be too risky to be attempted via a CT-guided biopsy with a high likelihood of complications. More focused education on using EBUS via the oesophagus for respiratory trainees could greatly improve overall clinical practice. It improves the diagnostic yield of lesions and prevents subsequent referral to gastrointestinal colleagues which may delay diagnosis especially during the COVID-19 pandemic as was the case in our patient cohort where services are already limited. EBUS, due to its smaller size, is less irritant to the upper airways and requires less sedation than endoscopic ultrasound (EUS) scopes. It is also shorter than an EUS scope improving manoeuvrability. Each of our cases resulted in early histological diagnosis and subsequent appropriate treatment.

scholarly journals Utility of endobronchial ultrasound guided trans-bronchial needle aspiration in diagnosis of melioidosis - case series and review of literature

2020 ◽  
Vol 90 (3) ◽  
Author(s):  
Mujeeb Rahman K.K ◽  
Sourin Bhuniya ◽  
Bijayini Behera ◽  
Prasanta Raghab Mohapatra ◽  
Rajesh Kumar ◽  
...  
Keyword(s):  
Point Of Care ◽  
Case Series ◽  
Needle Aspiration ◽  
Endobronchial Ultrasound ◽  
Mediastinal Lymphadenopathy ◽  
Review Of Literature ◽  
Ultrasound Guided ◽  
Transbronchial Needle Aspiration ◽  
Antigen Testing

Endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) is routinely performed for diagnostic evaluation of mediastinal lymphadenopathy due to various etiologies with excellent sensitivity and specificity. Melioidosis can have atypical features like isolated mediastinal lymphadenopathy mimicking as tuberculosis or lymphoma. Differentiation of such atypical melioidosis presentation become difficult due to similar clinical, radiological and even similar EBUS lymph node characteristics. Role of EBUS TBNA in diagnosing melioidosis is under investigated and sparsely reported. We describe two cases of melioidosis diagnosed by point of care rapid lateral flow immunoassay antigen testing and culture of EBUS-TBNA samples from necrotic mediastinal lymph nodes.

Ultrasound-Guided Lumbar Sympathetic Ganglion Blockade Using Shamrock Method: A Prospective Case Series

2016 ◽  
Vol 3 (3) ◽  
pp. 114-118 ◽  
Author(s):  
Dan-Xu Ma ◽  
Yun Wang ◽  
Meng-Meng Bao ◽  
Chen Zhang ◽  
Xue-Yang Li ◽  
...  
Keyword(s):  
Sympathetic Ganglion ◽  
Case Series ◽  
Ultrasound Guided ◽  
Prospective Case Series

Acute pericarditis and mediastinal lymph node abscess developing after endobronchial ultrasound guided transbronchial needle aspiration

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Shingo Nishikawa ◽  
Ryo Ariyasu ◽  
Tomoaki Sonoda ◽  
Masafumi Saiki ◽  
Takahiro Yoshizawa ◽  
...  
Keyword(s):  
Lymph Node ◽  
Mediastinal Lymph Node ◽  
Tumor Therapy ◽  
Needle Aspiration ◽  
Lymph Node Biopsy ◽  
Endobronchial Ultrasound ◽  
Tumor Treatment ◽  
Ultrasound Guided ◽  
Transbronchial Needle Aspiration ◽  
Acute Pericarditis

A 27-year-old man was diagnosed with inflammatory myofibroblastic tumor, and multiple lymph node and subcutaneous metastases. After several administrations of anti-tumor therapy, he underwent mediastinal lymph node biopsy using endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) to confirm tumor relapse. Five weeks later, he complained of chest pain, then rapidly developed shock due to acute pericarditis. Although he was treated with antibiotics for anaerobic bacterial infection and cardiac drainage, mediastinal lymph node abscess and pericarditis did not improve. After the surgical procedure, his physical condition dramatically improved and he was treated with another molecularly targeted therapy. Pericarditis associated with EBUS-TBNA is extremely rare. In this case, salvage was achieved by surgical drainage of the lymph node abscess and pericarditis, and long survival was obtained with further administration of anti-tumor treatment.

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