Venerino Poletti1, Claudia Ravaglia, Sara Tomassetti. 1. aDepartment of Diseases of the Thorax, Azienda USL Romagna, GB Morgagni Hospital, Forlì, Italy bDepartment of Respiratory Diseases and Allergy, Aarhus University Hospital, Aarhus, Denmark.
Abstract
PURPOSE OF REVIEW: The diagnostic yield of conventional transbronchial lung biopsy varies among various parenchymal lung diseases: in pulmonary sarcoidosis and lymphangitis carcinomatosa, a diagnosis can be obtained in up to 80% of patients; this method is considered inadequate, however, in identifying more complex histological patterns such as usual interstitial pneumonitis or nonspecific interstitial pneumonitis, mainly because the specimens are tiny and the interpretation is confounded by crush artifacts. Recently, the use of cryoprobes has achieved a significant impact on this issue. This review is about this promising application of cryobiopsy in the diagnostic process of diffuse parenchymal lung diseases. RECENT FINDINGS: Recent studies document that with transbronchial cryobiopsies, the diagnosis of usual interstitial pneumonitis can be made confidently by pathologists with a good interobserver agreement. Pneumothorax is the main complication (reported in up to one-quarter of cases in some series); bronchial bleeding is usually controlled using Fogarty balloon. SUMMARY: Transbronchial cryobiopsy is a promising new technique that may become a valid alternative to surgical lung biopsy in the near feature.
PURPOSE OF REVIEW: The diagnostic yield of conventional transbronchial lung biopsy varies among various parenchymal lung diseases: in pulmonary sarcoidosis and lymphangitis carcinomatosa, a diagnosis can be obtained in up to 80% of patients; this method is considered inadequate, however, in identifying more complex histological patterns such as usual interstitial pneumonitis or nonspecific interstitial pneumonitis, mainly because the specimens are tiny and the interpretation is confounded by crush artifacts. Recently, the use of cryoprobes has achieved a significant impact on this issue. This review is about this promising application of cryobiopsy in the diagnostic process of diffuse parenchymal lung diseases. RECENT FINDINGS: Recent studies document that with transbronchial cryobiopsies, the diagnosis of usual interstitial pneumonitis can be made confidently by pathologists with a good interobserver agreement. Pneumothorax is the main complication (reported in up to one-quarter of cases in some series); bronchial bleeding is usually controlled using Fogarty balloon. SUMMARY: Transbronchial cryobiopsy is a promising new technique that may become a valid alternative to surgical lung biopsy in the near feature.
Authors: Frédéric Rivière; Aurélie Cazes; Olivier Bylicki; Hervé Le Floch; Wanda Gaspard; Marie Alice Cornetto; France Charton; Jacques Margery; Frédéric Grassin Journal: Indian J Thorac Cardiovasc Surg Date: 2022-01-23
Authors: Paul A Reyfman; James M Walter; Nikita Joshi; Kishore R Anekalla; Alexandra C McQuattie-Pimentel; Stephen Chiu; Ramiro Fernandez; Mahzad Akbarpour; Ching-I Chen; Ziyou Ren; Rohan Verma; Hiam Abdala-Valencia; Kiwon Nam; Monica Chi; SeungHye Han; Francisco J Gonzalez-Gonzalez; Saul Soberanes; Satoshi Watanabe; Kinola J N Williams; Annette S Flozak; Trevor T Nicholson; Vince K Morgan; Deborah R Winter; Monique Hinchcliff; Cara L Hrusch; Robert D Guzy; Catherine A Bonham; Anne I Sperling; Remzi Bag; Robert B Hamanaka; Gökhan M Mutlu; Anjana V Yeldandi; Stacy A Marshall; Ali Shilatifard; Luis A N Amaral; Harris Perlman; Jacob I Sznajder; A Christine Argento; Colin T Gillespie; Jane Dematte; Manu Jain; Benjamin D Singer; Karen M Ridge; Anna P Lam; Ankit Bharat; Sangeeta M Bhorade; Cara J Gottardi; G R Scott Budinger; Alexander V Misharin Journal: Am J Respir Crit Care Med Date: 2019-06-15 Impact factor: 21.405