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Transbronchial biopsy without fluoroscopy: a five year experience in outpatients
O de Fenoyl1, F Capron, B Lebeau
1Clinique de Pneumologie, Hotel-Dieu de Paris.
Thorax
|November 1, 1989
Summary
Transbronchial biopsy without fluoroscopy is a safe and effective outpatient procedure for diagnosing interstitial lung disease and sarcoidosis. This method yielded a high diagnostic rate with a low complication rate in 174 patients.
Area of Science:
- Pulmonology
- Interventional Pulmonology
- Diagnostic Procedures
Background:
- Transbronchial biopsy is crucial for diagnosing pulmonary disorders.
- Traditionally performed inpatient with fluoroscopy, its necessity is debated.
- Outpatient procedures may offer efficiency and cost benefits.
Purpose of the Study:
- To evaluate the safety and efficacy of transbronchial biopsy without fluoroscopy.
- To assess complication rates and diagnostic yield in an outpatient setting.
- To determine if fluoroscopic guidance is essential for this procedure.
Main Methods:
- Retrospective analysis of 174 transbronchial biopsies over five years.
- Procedures performed on outpatients with interstitial lung disease or suspected sarcoidosis.
- Fluoroscopy avoided; chest radiography used only if symptomatic.
Main Results:
- Low overall complication rate.
- Pneumothorax in 3.4% (1/6 required intervention).
- Bleeding (>30ml) in 1.1% (2/174).
- Histological diagnosis achieved in 88% (154/174).
Conclusions:
- Transbronchial biopsy can be safely performed without fluoroscopy in an outpatient setting.
- This approach is effective for diagnosing interstitial lung disease and sarcoidosis.
- Outpatient, non-fluoroscopic transbronchial biopsy is a viable alternative.