Complications with Endobronchial Ultrasound with a Guide Sheath for the Diagnosis of Peripheral Pulmonary Lesions
Manabu Hayama, Takehiro Izumo, Yuji Matsumoto, Christine Chavez, Takaaki Tsuchida, Shinji Sasada, Manabu Hayama, Takehiro Izumo, Yuji Matsumoto, Christine Chavez, Takaaki Tsuchida, Shinji Sasada
Abstract
Background: Diagnostic bronchoscopy has been considered as a safe and effective procedure. Endobronchial ultrasound with a guide sheath (EBUS-GS) for the diagnosis of peripheral pulmonary lesions (PPLs) is becoming a common procedure, but reports about its safety are missing.
Objectives: 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 the National Cancer Center Hospital were included. Postprocedural complications and the durability of devices were retrospectively reviewed.
Results: During the study period, EBUS-GS procedures were performed for 965 PPLs. 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, and there was no breakage of the guide sheath. Only four radial probes were broken during the study period without any adverse reactions.
Conclusions: EBUS-GS is a tolerable procedure, and the devices are durable.
© 2015 S. Karger AG, Basel.
Source: PubMed