Complications with Endobronchial Ultrasound with a Guide Sheath for the Diagnosis of Peripheral Pulmonary Lesions

Respiration. 2015;90(2):129-35. doi: 10.1159/000431383. Epub 2015 Jun 19.

Abstract

Background: Diagnostic bronchoscopy has been considered as a safe and effective procedure. Endobronchial ultrasound with a guide sheath (EBUS-GS) for the diagnosis of peripheral pulmonary lesions (PPLs) is becoming a common procedure, but reports about its safety are missing.

Objectives: The aim of this study was to evaluate the safety profile of EBUS-GS for the diagnosis of PPLs.

Methods: All patients with PPLs who underwent EBUS-GS between September 2012 and August 2014 at the National Cancer Center Hospital were included. Postprocedural complications and the durability of devices were retrospectively reviewed.

Results: During the study period, EBUS-GS procedures were performed for 965 PPLs. The overall complication rate was 1.3% (13/965): 0.8% (8/965) for pneumothorax and 0.5% (5/965) for pulmonary infection. There was no significant hemorrhage, air embolism, tumor seeding or procedure-related death, and there was no breakage of the guide sheath. Only four radial probes were broken during the study period without any adverse reactions.

Conclusions: EBUS-GS is a tolerable procedure, and the devices are durable.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Bronchoscopy* / adverse effects
  • Bronchoscopy* / instrumentation
  • Bronchoscopy* / methods
  • Durable Medical Equipment
  • Endosonography / adverse effects
  • Endosonography / instrumentation
  • Endosonography / methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multiple Pulmonary Nodules / diagnosis*
  • Outcome Assessment, Health Care
  • Pneumothorax / etiology
  • Respiratory Tract Infections / etiology
  • Retrospective Studies