https://doi.org/10.4081/monaldi.2024.3054
Additional yield of transbronchial cryo-node biopsy over endobronchial ultrasound-guided transbronchial needle aspiration for mediastinal lesions at a tertiary care center in India (COLD-FORCEPS-2 study)
Submitted: May 12, 2024
Accepted: June 3, 2024
Published: July 24, 2024
Accepted: June 3, 2024
Abstract Views: 311
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SUPPLEMENTARY MATERIAL: 34
SUPPLEMENTARY MATERIAL: 34
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Endobronchial ultrasound (EBUS)-guided mediastinal cryobiopsy is a new modality for sampling mediastinal lymph nodes. The data regarding the diagnostic yield and utility of mediastinal cryobiopsy is still limited. Consecutive patients who were undergoing EBUS-guided transbronchial needle aspiration (EBUS-TBNA) were recruited in this study. We subjected the enrolled patients to EBUS-guided mediastinal cryobiopsy after obtaining their informed consent. The final diagnosis was made with a clinical-pathological-radiological assessment and clinical-radiological follow-up. A total of 101 patients were enrolled in the study. Adequacy in sampling achieved in EBUS-TBNA was 92.07%, compared to 98.01% achieved in EBUS-TBNA with mediastinal cryobiopsy. Diagnostic yields achieved in EBUS-TBNA and EBUS-TBNA with mediastinal cryobiopsy were 67.32% and 86.13%, respectively (p=0.001). EBUS patterns failed to predict the utility of mediastinal crobiopsy. No significant complications were observed. To conclude, EBUS-guided mediastinal cryobiopsy improves yield in patients undergoing EBUS-TBNA.
Madan K, Mohan A, Ayub II, et al. Initial experience with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) from a tuberculosis endemic population. J Bronchology Interv Pulmonol 2014;21:208-14.
DOI: https://doi.org/10.1097/LBR.0000000000000080
Lentz RJ, Argento AC, Colby TV, et al. Transbronchial cryobiopsy for diffuse parenchymal lung disease: a state-of-the-art review of procedural techniques, current evidence, and future challenges. J Thorac Dis 2017;9:2186-203.
DOI: https://doi.org/10.21037/jtd.2017.06.96
Zhang J, Guo JR, Huang ZS, et al. Transbronchial mediastinal cryobiopsy in the diagnosis of mediastinal lesions: a randomized trial. Eur Respir J 2021;58:2100055.
DOI: https://doi.org/10.1183/13993003.00055-2021
Fan Y, Zhang AM, Wu XL, et al. Transbronchial needle aspiration combined with cryobiopsy in the diagnosis of mediastinal diseases: a multicentre, open-label, randomised trial. Lancet Respir Med 2023;11:256-64.
DOI: https://doi.org/10.1016/S2213-2600(22)00392-7
Madan M, Mahendran AJ, Kumar R, et al. Comparative yield of transbronchial cryo-nodal biopsy, transbronchial intra-nodal forceps biopsy, and transbronchial needle aspiration for mediastinal lesions at a tertiary care center in India (COLD-FORCEPS study). Monaldi Arch Chest Dis 2024. doi: 10.4081/monaldi.2024.2813. Online ahead of print.
DOI: https://doi.org/10.4081/monaldi.2024.2813
Zhang Z, Li S, Bao Y. Endobronchial ultrasound-guided transbronchial mediastinal cryobiopsy versus endobronchial ultrasound-guided transbronchial needle aspiration for mediastinal disorders: a meta-analysis. Respiration 2024. doi: 10.1159/000538609. Online ahead of print.
DOI: https://doi.org/10.1159/000538609
Cheng TL, Huang ZS, Zhang J, et al. Comparison of cryobiopsy and forceps biopsy for the diagnosis of mediastinal lesions: a randomised clinical trial. Pulmonology 2024;S2531-0437(23)00240-4.
DOI: https://doi.org/10.1016/j.pulmoe.2023.12.002
Ethics Approval
Institute ethical committee clearance taken vide S. No. IEC/VMMC/SJH/Project 2024-01/429 dated 4 March 2024.How to Cite
Madan, Manu, Rohit Kumar, Pranav Ish, Yash Kedia, AJ Mahendran, Rajnish Kaushik, Neeraj Kumar Gupta, and Nitesh Gupta. 2024. “Additional Yield of Transbronchial Cryo-Node Biopsy over Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration for Mediastinal Lesions at a Tertiary Care Center in India (COLD-FORCEPS-2 Study)”. Monaldi Archives for Chest Disease, July. https://doi.org/10.4081/monaldi.2024.3054.
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