Interventional Pulmonology Unit, Department of Internal Medicine, Pneumonology and Allergology, Medical University of Warsaw, Warsaw, Poland.
Interventional Pulmonology Unit, Department of Internal Medicine, Pneumonology and Allergology, Medical University of Warsaw, Warsaw, Poland.
Ann Thorac Surg. 2014 Mar;97(3):e79-80. doi: 10.1016/j.athoracsur.2013.11.061.
The high diagnostic yield and favorable safety profile of endobronchial ultrasound-guided transbronchial forceps biopsy of the mediastinal lymph nodes have been recently demonstrated. We report an unusual technical problem during endobronchial ultrasound-guided transbronchial forceps biopsy that could be a prerequisite for severe complications. A rupture of the steering band precluded closure of the forceps jaws opened in the subcarinal lymph node. A solution to the problem is presented, together with other procedure-related complications reported in the literature. The report emphasizes that a dysfunction of the forceps steering band can result in severe complications when it occurs during transbronchial sampling of mediastinal lesions.
经支气管超声引导经支气管针吸活检术（EBUS-TBNA）对纵隔淋巴结具有较高的诊断率和良好的安全性。最近已经证明了这一点。我们报告了一例在经支气管超声引导经支气管针吸活检术过程中出现的不常见技术问题，该问题可能是严重并发症的前兆。在隆突下淋巴结处张开的活检钳的钳口无法闭合，原因是导向带破裂。本文提出了一种解决方案，并结合文献中报道的其他与操作相关的并发症进行了讨论。本报告强调，当支气管内取样纵隔病变时，如果活检钳的导向带出现故障，可能会导致严重并发症。
