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Updated: Apr 27, 2026

Use of Electromagnetic Navigational Transthoracic Needle Aspiration E-TTNA for Sampling of Lung Nodules
Published on: May 23, 2015
High-quality endoscopic ultrasound-guided fine needle aspiration tissue acquisition
Bronte A Holt1, Shyam Varadarajulu, Shantel Hébert-Magee
1Center for Interventional Endoscopy, Florida Hospital, 601 East Rollins Street, Orlando, FL, 32804, USA.
Abstract:
Endoscopic ultrasound-guided fine needle aspiration is a multistep procedure that involves proper clinical indication, correct selection of needles, adapting evidence-based techniques such as the fanning maneuver and not routinely using suction or the stylet for tissue sampling, and establishing reliable cytopathology support. Integrating cytopathology in the training curriculum and developing a more flexible platform of needles and echoendoscopes are likely to further advance the field of endosonography. This review aims to summarize the technical issues that are key to performing high-quality endoscopic ultrasound-guided fine needle aspiration.
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