Combining biopsy needle and virtual bronchoscopy for tuberculosis-induced complete bronchial blockage

Area of Science:

• Pulmonology
• Infectious Diseases
• Interventional Bronchoscopy

Background:

• Endobronchial tuberculosis (EBTB) poses challenges, especially with complete bronchial obstruction.
• Traditional rigid bronchoscopy may have limitations in managing these complex cases.

Observation:

• A young woman presented with right main bronchus occlusion due to EBTB.
• A novel flexible bronchoscopic approach was employed for treatment.

Findings:

• A 21-gauge transbronchial needle facilitated guidewire passage and balloon dilation of the obstruction.
• Virtual bronchoscopy, derived from CT scans, guided safe navigation around vascular structures.
• The patient experienced significant symptomatic improvement post-procedure without complications.

Implications:

• This case demonstrates the efficacy and safety of using biopsy needles and virtual bronchoscopy for complete bronchial obstruction in EBTB.
• This innovative technique offers a promising alternative for managing complex EBTB obstructions.
• Highlights potential for future advancements in interventional pulmonology for EBTB treatment.