Pleural Cryobiopsy

Shafiq, Mājid; Sethi, Jaskaran; Ali, Muhammad; Ghori, Uzair; Saghaie, Tajalli; Folch, Erik

doi:10.1016/j.chest.2019.09.023

Cited by 26 publications

(2 citation statements)

References 29 publications

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“…A total of 44 articles were identified via the defined literature search (33) and article citation review (5); of these articles, 34 were included in our review. Of the 10 excluded articles, four did not pertain to INC outcomes following the MIRPE ( 18 – 21 ), three were opinion editorials ( 22 – 24 ), two were review articles ( 25 , 26 ), and two were not in the English language ( 27 ). Of the articles included, the majority were single-center retrospective reviews (29/34), with one randomized control trial and four prospective reviews.…”

Section: Resultsmentioning

confidence: 99%

Intercostal nerve cryoablation therapy for the repair of pectus excavatum: a systematic review

Eldredge,

McMahon

2023

Front. Surg.

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IntroductionThe minimally invasive repair of pectus excavatum (PE) is a painful procedure that can result in long-term hospitalization and opioid use. To mitigate the length of stay and opioid consumption, many different analgesia strategies have been implemented. The aim of this study is to review the use and patient outcomes of intercostal nerve cryoablation (INC) during PE repair reported in the literature.MethodsAn unfunded literature search using PubMed identifying articles discussing INC during PE repair from 1946 to 1 July 2023 was performed. Articles were included if they discussed patient outcomes with INC use during PE repair. Articles were excluded if they were reviews/meta-analyses, editorials, or not available in English. Each article was reviewed for bias by analyzing the study methods, data analysis, patient selection, and patient follow-up. Articles comparing outcomes of INC were considered significant if p-value was <0.05.ResultsA total of 34 articles were included in this review that described INC use during pectus repair. Most supported a decreased hospital length of stay and opioid use with INC. Overall, INC was associated with fewer short-term and long-term complications. However, the researchers reported varied results of total hospital costs with the use of INC.ConclusionThe review was limited by a paucity of prospective studies and low number of patients who received INC. Despite this, the present data support INC as a safe and effective analgesic strategy during the repair of PE.

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Section: Resultsmentioning

confidence: 99%

Intercostal nerve cryoablation therapy for the repair of pectus excavatum: a systematic review

Eldredge,

McMahon

2023

Front. Surg.

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“…In terms of complications, patients undergoing PCB had less mild bleeding compared to FBF (see Table 3), although there was wide variability in the results of the studies. However, in the analysis by Shafiq et al [11], suggested no statistically significant improvement in diagnostic yield (see Table 3). None of these studies reported major bleeding, however, the definition of major bleeding was not uniform amongst the studies.…”

Section: Reviewmentioning

confidence: 92%

The role of interventional pulmonology in pleural disease diagnosis and management

Flora¹

2021

Current Opinion in Pulmonary Medicine

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Purpose of reviewPleural disease guidelines have not been updated in a decade. Advances have been made in the diagnosis and management of pleural diseases since, with expanding evidence of the utility of medical thoracoscopy (MT) as a safe and effective tool. Recent findingsAlthough thoracic ultrasound has improved early determination of pleural disease etiology, thoracentesis remains limited, and pleural tissue is necessary for the diagnosis of undifferentiated exudative pleural effusions. Medical thoracoscopy has been shown to be superior to traditional closed pleural biopsy, and recent literature is focused on which technique is best. A recent randomized controlled trial (RCT) found rigid mini-thoracoscopy was not superior to semirigid thoracoscopy. Meta-analyses have not found pleural cyrobiopsy to be superior to forceps biopsies. As a therapeutic tool, meta-analysis suggests MT as a possible first-line tool for the treatment of complicated parapneumonic effusions (CPE) and early empyema. A RCT comparing MT to intrapleural fibrinolytic therapy demonstrated that the former technique is safe, effective, and may shorten hospital length of stay in patients with CPE/empyema.

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A case of a thoracic mass negative on thoracentesis diagnosed by cryobiopsy from the visceral pleura

Morita

Kitamura

Kinoshita

et al. 2022

Respirology Case Reports

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Thoracoscopy under local anaesthesia is recommended for malignant tumours with negative pleural effusion cytology. Cryobiopsy from the visceral pleura by thoracoscopy under local anaesthesia can provide more diagnostic options for patients with thoracentesis-negative malignant effusions. Here we present the first case in which this technique was used. The patient had a pleural metastasis that could not be diagnosed even with rapid cytology of the parietal pleura biopsy. Indications, technical pitfalls, and safety tips are discussed.

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Pleural Cryobiopsy

Cited by 26 publications

References 29 publications

Intercostal nerve cryoablation therapy for the repair of pectus excavatum: a systematic review

Intercostal nerve cryoablation therapy for the repair of pectus excavatum: a systematic review

The role of interventional pulmonology in pleural disease diagnosis and management

A case of a thoracic mass negative on thoracentesis diagnosed by cryobiopsy from the visceral pleura

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