1. Learning curve for transbronchial lung cryobiopsy in diffuse lung disease
- Author
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L.M. Almeida, B. Lima, P.C. Mota, N. Melo, A. Magalhães, J.M. Pereira, C.S. Moura, S. Guimarães, and A. Morais
- Subjects
Diseases of the respiratory system ,RC705-779 - Abstract
Introduction: Transbronchial lung cryobiopsy (TBLC) is increasingly used in the diagnosis of diffuse lung disease (DLD), but no data have yet been published on the learning curve associated with this technique. Aim: To evaluate diagnostic yield, lung tissue sample length and area, and procedure-related complications in a cohort of TBLC procedures to define the learning curve and threshold for proficiency. Methods: Retrospective analysis of the first 100 TBLCs performed in different segments of the same lobe in patients with suspected DLD. We compared diagnostic yield, sample length and area, and complications between consecutive groups of patients. Results: The overall diagnostic yield for TBLC was 82%. Median sample length was 5.4 mm (IQR, 5–6) and median area was 19.5 mm2 (IQR, 13.3–25). Pneumothorax was the most common complication (18%). On comparing the two groups of 50 consecutive patients, a significant difference was found for diagnostic yield (74% vs 90%; p = 0.04), sample length (5.0 mm [2.5–16] vs 6.0 mm [4–12;] p
- Published
- 2018
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