Comparing the Efficiency of Endobronchial Ultrasound With the Use of Microscopic Forceps vs Fine Needle Aspiration

Endobronchial ultrasound-guided intranodal forceps biopsy (EBUS-IFB)—technical review

“…by needle puncture using a 19-gauge needle through a conventional bronchoscope. IFB was subsequently performed through the defect made by the 19-gauge needle using EBUS guidance, and all procedures were A recent study examined 91 patients who underwent both EBUS-TBNA and EBUS-IFB noted that EBUS-IFB lead to additional pathologic diagnosis in 16.2% of nondiagnostic EBUS-TBNA samples, of which 66% were non-caseating granulomas(26). Interestingly, Bramley et al reported the combined use of electrocautery knife and 1.9-mm spiked forceps to obtain lymph node tissue to to the current state.…”

Novel Use of EBUS-guided Forceps Biopsy to Diagnose Solitary Fibrous Tumors of the Pleura

“…1 Many factors play a role in the threshold at which these metal ions induce a systemic reaction, including the length of nickel exposure, the amount of nickel exposure per unit area, the size of the exposure area, alloy composition and coating, and integrity of the skin or mucosal barrier. [7][8][9] All these factors play an individual role in determining the potential risk of sensitivity reactions to nickel-containing medical devices, including stents.…”

“…The use of a double stenting technique with airway and esophageal stents has proven to show better occlusion than singular stenting techniques, and some studies recommend it as an early measure. [6][7][8] Freitag et al 6 reported a higher mean survival time when using double stenting than single stenting. Nevertheless, newer studies have suggested that there is no improved survival time.…”

“…EBUS-IFB is relatively new technique and increases the diagnostic yield of bronchoscopy without a significant increase in procedure time or complications. Shiari et al7 reported that EBUS-IFB sampling, following nondiagnostic EBUS-TBNA samples on rapid on-site examination and cell block, resulted in additional pathologic diagnosis in 16.2% of cases. In addition, the increase in diagnostic yield with EBUS-IFB was most pronounced in patients with sarcoidosis (88% vs. 36%, P =0.001) and lymphoma (81% vs. 35%, P =0.038), and no complications were noted 8.…”