使用第三代奥林巴斯超声支气管镜经食管针吸活检术诊断主动脉下病变：两例报告
Transesophageal needle aspiration using a third-generation Olympus ultrasound bronchoscope for subaortic lesions: a report of two cases.
作者信息
Oki Masahide, Saka Hideo, Kogure Yoshihito
机构信息
Department of Respiratory Medicine, National Hospital Organization Nagoya Medical Center, Nagoya, Japan.
出版信息
Transl Lung Cancer Res. 2019 Dec;8(6):1152-1156. doi: 10.21037/tlcr.2019.12.04.
Abstract
Transesophageal endoscopic ultrasound with bronchoscope-guided fine needle aspiration (EUS-B-FNA) has been reported to be useful for evaluating paraesophageal lesions; however, its ability to access subaortic lesions is relatively limited. The third-generation Olympus ultrasound bronchoscope, which was released in 2018, has a wider up-angulation range, which is theoretically preferable to previous models for puncturing the subaortic lesions. We report herein two cases with subaortic lesions that could not be evaluated using a conventional ultrasound bronchoscope, but that were successfully evaluated and diagnosed via EUS-B-FNA employing a new ultrasound bronchoscope.
摘要
经食管内镜超声检查联合支气管镜引导下细针穿刺活检（EUS-B-FNA）已被报道可用于评估食管旁病变；然而，其对主动脉弓下病变的评估能力相对有限。2018年发布的第三代奥林巴斯超声支气管镜具有更大的上弯角度范围，理论上比以前的型号更适合穿刺主动脉弓下病变。我们在此报告两例主动脉弓下病变病例，这些病变无法使用传统超声支气管镜进行评估，但通过使用新型超声支气管镜的EUS-B-FNA成功进行了评估和诊断。
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