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EBUS-TBNA Bronchoscopy

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Interventional Bronchoscopy

Part of the book series: Respiratory Medicine ((RM,volume 10))

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Abstract

Endobronchial ultrasound (EBUS) is an evolving technology that has been used successfully to visualize structures adjacent to central airways that cannot be seen during bronchoscopy. EBUS-guided transbronchial needle aspiration (EBUS-TBNA) has been shown to be a well tolerated, minimally invasive, cost-effective, and accurate procedure in the sampling of mediastinal and hilar lymph nodes. Its major indications include diagnosis and staging of lung cancer, restaging after chemotherapy and/or radiation, diagnosis of metastasis from extrathoracic malignancy, diagnosis of sarcoidosis, tubercular mediastinal lymphadenitis, and other etiologies of mediastinal lymphadenopathy. In this chapter we discuss the technique, specimen handling, anesthesia issues, and diagnostic yield of EBUS-TBNA in various disease processes and compare its diagnostic yield with other methods of sampling lymph nodes. Complications and limitations of EBUS-TBNA are also discussed.

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Authors and Affiliations

  1. Respiratory Institute - Department of Interventional Pulmonary, Cleveland Clinic, Cleveland, OH, 44114, USA

    Sonali Sethi M.D.

  2. Respiratory Institute - Department of Advanced Diagnostic Bronchoscopy, Cleveland Clinic, Cleveland, OH, 44114, USA

    Joseph Cicenia M.D.

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  1. Sonali Sethi M.D.
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Correspondence to Sonali Sethi M.D. .

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  1. , Pulmonary, Allergy and Critical Care Med, Cleveland Clinic, Euclid Avenue 9500, Cleveland, 44195, Ohio, USA

    Atul Mehta

  2. , Pulmonary and Critical Care Medicine, Louis A. Johnson VAMC, Medical Center Drive 1, West Virginia, 26301, USA

    Prasoon Jain

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Sethi, S., Cicenia, J. (2013). EBUS-TBNA Bronchoscopy. In: Mehta, A., Jain, P. (eds) Interventional Bronchoscopy. Respiratory Medicine, vol 10. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-395-4_5

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