Safety of endobronchial ultrasound-guided transbronchial needle aspiration in patients with lung cancer within a year after percutaneous coronary intervention

Thoracic Cancer
Hyun-Il GilKyung Jong Lee

Abstract

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) may be necessary for patients with incidental lung cancer during or after coronary intervention. Although EBUS-TBNA is quite safe, the safety in patients who recently received percutaneous coronary intervention (PCI) has not been demonstrated. The aim of this study was to assess the safety of EBUS-TBNA in patients with lung cancer who underwent PCI within one year. We retrospectively reviewed the medical records of 24 patients who underwent EBUS-TBNA within one year after PCI between May 2009 and June 2017. Cardiovascular complications (death, myocardial infarction, arrhythmia, and acute heart failure) were assessed as primary outcomes. Procedural-related complications were assessed as secondary outcomes. The coronary artery diseases requiring PCI were: myocardial infarction (n = 10), unstable angina (n = 10), stable angina (n = 2), and silent ischemia (n = 2). The median interval between PCI and EBUS-TBNA was 125 days (interquartile range: 66-180). Atrial fibrillation with a rapid ventricular response temporarily occurred in one patient after EBUS-TBNA. No other significant cardiovascular complications were encountered. Fifteen patients were administe...Continue Reading

References

May 13, 2003·Chest·Armin ErnstUNKNOWN American College of Chest Physicians
May 2, 2009·The European Respiratory Journal·L Varela-LemaA Ruano-Ravina
Jan 31, 2012·Respiration; International Review of Thoracic Diseases·David R StatherAlain Tremblay
Jul 24, 2013·Thorax·I A Du RandUNKNOWN British Thoracic Society Bronchoscopy Guideline Group
Aug 21, 2013·American Journal of Respiratory and Critical Care Medicine·Mina GagaUNKNOWN ATS/ERS Task Force on the Role of the Pulmonologist in the Management of Lung Cancer
Jan 23, 2015·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Sang-Won UmHojoong Kim

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Citations

Feb 11, 2021·Medicina·Hyun-Il GilByeong-Ho Jeong

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Methods Mentioned

BETA
sedation
biopsy
coronary artery bypass

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