Single-centre experience of transbronchial cryobiopsy as a first choice method for the diagnosis of interstitial lung disease.
Interstitial lung disease
Lung transbronchial cryobiospy
Multidisciplinary discussion
Journal
Indian journal of thoracic and cardiovascular surgery
ISSN: 0970-9134
Titre abrégé: Indian J Thorac Cardiovasc Surg
Pays: India
ID NLM: 8700105
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
received:
08
07
2021
revised:
04
11
2021
accepted:
07
11
2021
entrez:
28
2
2022
pubmed:
1
3
2022
medline:
1
3
2022
Statut:
ppublish
Résumé
The diagnosis of interstitial lung disease is based on clinical and biological analysis associated with computed tomography (CT) pattern after discussion in multidisciplinary discussion. Lung transbronchial cryobiopsy has emerged with acceptable diagnostic reliability and low morbidity and mortality. The goal of our work is to describe our experience with lung cryobiopsy. This is monocentric and retrospective analysis of prospectively collected data on epidemiological, clinical, biological, CT, respiratory and histological features of patients with lung transbronchial cryobiopsy between January 1st, 2017, and July 1st, 2020. Lung transbronchial cryobiopsy has been done for 23 patients with sex ratio M/F of 1.1, majority of smoker/former smoker. Thirty-nine percent of procedures were complicated by pneumothorax. On the haemorrhagic level, we reported 1 grade 2 bleeding (no serious bleeding). An histological diagnosis was obtained for 19 patients (82%). Only 4 patients needed to discuss surgical lung biopsy: 2 (8.6%) surgical lung biopsy, 1 refused surgical lung biopsy and 1 patient lost to follow-up. Our results suggest that transbronchial lung cryobiopsy may be considered the first diagnostic modality instead of surgical lung biopsy for interstitial lung disease in appropriate patients. Larger studies are, however, needed to confirm our observations.
Identifiants
pubmed: 35221552
doi: 10.1007/s12055-021-01299-7
pii: 1299
pmc: PMC8857330
doi:
Types de publication
Journal Article
Langues
eng
Pagination
142-148Informations de copyright
© Indian Association of Cardiovascular-Thoracic Surgeons 2021.
Déclaration de conflit d'intérêts
Conflict of interestThe authors declare no competing interests.
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