Transbronchial lung cryobiopsy under real‐time radial EBUS: First report on a novel twist of the classical technique

Author:

Anagnostopoulos Nektarios1,Petrarulo Simone2ORCID,Ravaglia Claudia23,Dubini Alessandra4,Piciucchi Sara5,Stratakos Grigoris1,Poletti Venerino236

Affiliation:

1. Interventional Pulmonology Unit of the 1st Respiratory Medicine Department National and Kapodistrian University of Athens, "Sotiria" Hospital Athens Greece

2. Department of Medical Specialities, Pulmonology Unit GB Morgagni—L. Pierantoni Hospital Forlì Italy

3. Department of Medical and Surgical Sciences (DIMEC) University of Bologna/Forlì Campus Forlì Italy

4. Department of Pathology GB Morgagni—L.Pierantoni Hospital Forlì Italy

5. Department of Radiology GB Morgagni—L.Pierantoni Hospital Forlì Italy

6. Department of Respiratory Diseases and Allergy Aarhus University Hospital Aarhus Denmark

Abstract

AbstractTransbronchial lung cryobiopsy (TBLC) is a relatively new technique for obtaining lung biopsies, known for being the least invasive method while offering a high diagnostic yield, a favourable safety profile, and a significant reduction in morbidity, mortality, and hospital stay length compared to surgical lung biopsy. Radial‐EBUS (r‐EBUS) represent a cornerstone modality for accessing ‘invisible’ peripheral pulmonary lesions. However, a major drawback of these techniques is the lack of ‘real‐time’ visualization of the biopsy being obtained. In this case report, we present a young woman who was referred to us with a cough, haemoptysis, and a non‐resolving lung consolidation. She underwent TBLC under real‐time rEBUS guidance. This clinical case demonstrates that, in specific clinical scenarios, TBLC with real‐time rEBUS is an excellent diagnostic tool.

Publisher

Wiley

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