Oki Masahide, Saka Hideo, Kogure Yoshihito
Department of Respiratory Medicine, National Hospital Organization Nagoya Medical Center, Nagoya, Japan.
Transl Lung Cancer Res. 2019 Dec;8(6):1152-1156. doi: 10.21037/tlcr.2019.12.04.
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.
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。
