Abstract
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is considered useful for the staging and diagnosis of lung cancer or thoracic lymph node enlargement; however, little is known about its complications. Between July 2009 and November 2016, 413 patients underwent EBUS-TBNA, and four complications (0.97%) occurred. Here we report four cases involving complications of EBUS-TBNA, including mediastinitis (n = 2), obstructive pneumonia (n = 1), and airway obstruction requiring admission to the intensive care unit (n = 1). All patients recovered with appropriate medical treatment. Despite their low incidence, the complications associated with EBUS-TBNA can be serious.
Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
MeSH terms
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Aged
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Airway Obstruction / diagnostic imaging
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Airway Obstruction / etiology
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Airway Obstruction / therapy
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Cohort Studies
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Endoscopic Ultrasound-Guided Fine Needle Aspiration / adverse effects*
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Endoscopic Ultrasound-Guided Fine Needle Aspiration / methods
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Endosonography / adverse effects
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Endosonography / methods
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Female
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Humans
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Lung Neoplasms / pathology*
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Lung Neoplasms / surgery
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Lymph Nodes / pathology*
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Lymph Nodes / surgery
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Male
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Mediastinitis / diagnostic imaging
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Mediastinitis / etiology*
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Mediastinitis / therapy
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Middle Aged
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Neoplasm Invasiveness / pathology
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Neoplasm Staging
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Pneumonia, Bacterial / etiology
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Pneumonia, Bacterial / microbiology
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Pneumonia, Bacterial / therapy
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Prognosis
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Radiography, Thoracic / methods
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Retrospective Studies
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Risk Assessment
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Tomography, X-Ray Computed / methods
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Treatment Outcome