Huizhen Yang1, Yuan Zhang1, Ko-Pen Wang1, Yun Ma1. 1. 1 Department of Respiratory and Critical Care Medicine, People's Hospital, Zhengzhou University, Zhengzhou 450003, China ; 2 Department of Respiratory Medicine, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200092, China ; 3 Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, USA.
Abstract
BACKGROUND: Transbronchial needle aspiration (TBNA) technology was underutilized by clinicians because it is "blind". Recent development of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) renewed the interest and confident of TBNA. TBNA without EBUS is referred as conventional transbronchial needle aspiration (C-TBNA). METHODS: This paper focuses on C-TBNA technology development history, present situation and future development to do a detailed introduction. RESULTS: TBNA is a simple, cost effective and minimally invasive technique for diagnosing disease of the mediastinum and lung in adult as well as children patients. CONCLUSIONS: More improvements of TBNA technology should be made, including employing technological advances to perfect the instruments and techniques, focusing on patient comfort, optimizing yield, simplifying instruments, maximizing ease of use and minimizing training requirements for the pulmonologist. The ideal TBNA scope deserves further evaluation and study.
BACKGROUND: Transbronchial needle aspiration (TBNA) technology was underutilized by clinicians because it is "blind". Recent development of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) renewed the interest and confident of TBNA. TBNA without EBUS is referred as conventional transbronchial needle aspiration (C-TBNA). METHODS: This paper focuses on C-TBNA technology development history, present situation and future development to do a detailed introduction. RESULTS: TBNA is a simple, cost effective and minimally invasive technique for diagnosing disease of the mediastinum and lung in adult as well as childrenpatients. CONCLUSIONS: More improvements of TBNA technology should be made, including employing technological advances to perfect the instruments and techniques, focusing on patient comfort, optimizing yield, simplifying instruments, maximizing ease of use and minimizing training requirements for the pulmonologist. The ideal TBNA scope deserves further evaluation and study.
Authors: Carolina Vitale; Antonio Galderisi; Angelantonio Maglio; Paolo Laperuta; Rosa Maria Di Crescenzo; Carmine Selleri; Antonio Molino; Alessandro Vatrella Journal: Open Med (Wars) Date: 2016-11-19