Fatal haemorrhage following endobronchial ultrasound-transbronchial needle aspiration: an unfortunate first

Miller, David; Mydin, Helmy Haja; Marshall, A.; Devereux, Graham; Currie, Graeme P.

doi:10.1093/qjmed/hct005

Cited by 17 publications

(16 citation statements)

References 4 publications

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“…fluids and blood transfusion. Invasive ventilation was deemed inappropriate in view of the plausible diagnosis of metastatic lung cancer which was confirmed in both nodal station samples post‐humously …”

Section: Resultsmentioning

confidence: 88%

“…One death occurred due to development of interstitial pneumonia after EBUS‐TBNA of mediastinal and hilar lymphadenopathy . The other causes of death were bacterial pericarditis, sepsis, major post‐EBUS‐TBNA haemorrhage and cerebral infarction …”

Section: Resultsmentioning

confidence: 99%

“…Al Qadi and Maldonado 25 2014 Case report Tracheal stenosis 1 12 Jang et al 26 2014 Case report Malignant pleural effusion 1 13 Hata et al 27 2013 Case report Intrabronchial polyp; sputum positive for tuberculosis post-EBUS-TBNA 2 14 Lee et al 28 2013 Case report Endotracheal granuloma 1 15 Miller et al 29 2013 Letter to editor Fatal haemorrhage 1 16 Hong et al 30 2013 Case report Cyst rupture; pneumonia 1 17 Gochi et al 31 2013 Case report Mediastinitis 1 18 Dhillon and Yendamuri 32 2013 Case report Needle assembly malfunction 2 19 Huang et al 33 2011 Case report Mediastinitis, empyema, lung abscess 1 20 Gomez et al 34 2010 Case report Sputum positive for tuberculosis post-EBUS-TBNA 1 21 Gupta et al 35 2010 Case report Endobronchial polyp 1 22…”

Section: Haemorrhagementioning

confidence: 99%

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Endobronchial ultrasound‐guided transbronchial needle aspiration: Safe as it sounds

et al. 2017

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Real-time endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has earned its place as a standard of care in the evaluation of mediastinal and hilar lymphadenopathy. It is a minimally invasive and a safe procedure with high diagnostic accuracy and efficacy. The increased usage of EBUS-TBNA worldwide has thrown light on its possible complications including death. The complications range from minor to life threatening in few and may occur either early or later in the course after the procedure. The present review summarizes the reported complications from EBUS-TBNA, their outcome and the modalities used for their management.

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Section: Resultsmentioning

confidence: 88%

Section: Resultsmentioning

confidence: 99%

Section: Haemorrhagementioning

confidence: 99%

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Endobronchial ultrasound‐guided transbronchial needle aspiration: Safe as it sounds

et al. 2017

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“…Large series have produced a major complication rate of approximately 0.15%, 40 and only 2 deaths have been reported to date in the literature. 41,42 Nonetheless, the safety of the procedure is maintained during the relatively steep learning curve experienced by pulmonologists or thoracic surgeons in training by the presence of an experienced operator for mentoring. 43 As of 2013, American Thoracic Society, European Respiratory Society, and ACCP guidelines suggest from 40 to 50 supervised procedures for initial acquisition of competence and 20 procedures per year for maintenance of competency.…”

Section: Learning Curve For Performing and Interpreting Ebus-tbna Spementioning

confidence: 99%

“…It is safer than surgical mediastinoscopy, but its potential complications, although rare, include pneumomediastinum, pneumothorax, mediastinitis, bacteremia, and hemomediastinum. Large series have produced a major complication rate of approximately 0.15%, and only 2 deaths have been reported to date in the literature . Nonetheless, the safety of the procedure is maintained during the relatively steep learning curve experienced by pulmonologists or thoracic surgeons in training by the presence of an experienced operator for mentoring .…”

Section: Introductionmentioning

confidence: 99%

Endobronchial ultrasound‐guided transbronchial needle aspiration (EBUS‐TBNA): An overview and update for the cytopathologist

VanderLaan

Wang

Majid

et al. 2014

Cancer Cytopathology

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Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has emerged as a minimally invasive technique for evaluating the mediastinum and staging patients with lung cancer. In the hands of an experienced operator, the procedure is safe and provides excellent sensitivity, specificity, and predictive diagnostic values. In conjunction with endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA), a nearly complete mediastinal evaluation can be performed in a minimally invasive fashion. This strategy results in improved lymph node staging, markedly reduced need for mediastinoscopy, and fewer futile thoracotomies compared with a traditional surgical staging procedure. The procedure is cost effective and provides excellent cytologic specimens that have proven well suited for ancillary testing, such as immunohistochemistry and tumor genotyping. EBUS-TBNA, initially used as a tool to sample the lymph nodes adjacent to the airway walls, has now become instrumental in sampling lesions in the mediastinum, hilum, and lung parenchyma, where previously more than 1 procedure would have been necessary. Looking forward, expanded use of this procedure is likely to revolutionize the access to cytology-proven staging and restaging of lung cancer and other thoracic malignancies in a

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Endobronchial and Endoscopic Ultrasound-Guided Transvascular Biopsy of Mediastinal, Hilar, and Lung Lesions

Kazakov

Hegde

Tahiri

et al. 2017

The Annals of Thoracic Surgery

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Fatal haemorrhage following endobronchial ultrasound-transbronchial needle aspiration: an unfortunate first

Cited by 17 publications

References 4 publications

Endobronchial ultrasound‐guided transbronchial needle aspiration: Safe as it sounds

Endobronchial ultrasound‐guided transbronchial needle aspiration: Safe as it sounds

Endobronchial ultrasound‐guided transbronchial needle aspiration (EBUS‐TBNA): An overview and update for the cytopathologist

Endobronchial and Endoscopic Ultrasound-Guided Transvascular Biopsy of Mediastinal, Hilar, and Lung Lesions

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