Combining three‐dimensional fluoroscopy guide system with single‐use bronchoscopes for diagnosis of peripheral lesions: First two cases. Issue 4 (10th March 2023)

• Record Type: Journal Article
• Authors: Patrucco, Filippo; D'Alessio, Andrea; Brambilla, Marco; Balbo, Piero Emilio
• Is Part Of: Respirology case reports. Volume 11:Issue 4(2023)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2023-03-10
• Subjects: 3D fluoroscopy -- lung cancer -- peripheral lesions -- single‐use bronchoscopes -- solitary pulmonary nodule; Respiratory organs -- Diseases -- Periodicals; 616.2005
• DOI: 10.1002/rcr2.1113
• Languages: English
• ISSNs: 2051-3380

Abstract

Abstract: Pulmonary Peripheral Lesions (PPLs) diagnosis is usually performed using a guidance system in combination with bronchoscopes and diagnostic tools. We report two cases of PPLs sampling procedures combining the use of the single‐use bronchoscope Ambu aScope 5 Broncho and CIOS 3D Spin Mobile (Siemens Healthineers) fluoroscopy system. A 69‐year‐old‐female was found to have a lesion located in right B6 segment and a 73‐year‐old‐male with a mass in the upper right lobe. We used for both cases a single‐use bronchoscope to reach the correct area and the fluoroscopy system to guide peripheral transbronchial aspiration needle (TBNA) sampling. After the confirmation of the correct location of the TBNA tool, the sampling was performed. Rapid onsite evaluation (ROSE) confirmed the adequacy of the sample for molecular analysis and the final diagnosis. Thus, the use of ever‐new disposable bronchoscopes for sampling peripheral lesions is a viable alternative to reusable bronchoscopes for advanced bronchoscopy procedures. Abstract : Pulmonary peripheral lesions (PPLs) diagnosis is usually performed using a guidance system that combines bronchoscopes and diagnostic tools. We report two cases of PPLs sampling procedures combining the use of aScope 5 single‐use bronchoscope and CIOS 3D Spin Mobile fluoroscopy system. The use of ever‐new disposable bronchoscopes for sampling peripheral lesions is a viable alternative to reusable bronchoscopes for advanced bronchoscopy procedures.