Transbronchial cryobiopsies for the diagnosis of diffuse parenchymal lung diseases: expert statement from the Cryobiopsy Working Group on safety and utility and a call for standardization of the procedure
Author(s)
Type
Journal Article
Abstract
Transbronchial cryobiopsies (TBCB) have recently been introduced as a promising and safer alternative to surgical lung biopsy in the diagnostic approach to diffuse parenchymal lung diseases (DPLD). Despite a substantial and expanding body of literature, the technique has not yet been standardized and its place in the diagnostic algorithm of DPLD remains to be defined. In part, this reflects concerns over the diagnostic yield and safety of the procedure, together with the rapid spread of the technique without competency and safety standards; furthermore, there is a substantial procedural variability among centers and interventional pulmonologists. We report this expert statement proposed during the third international conference on “Transbronchial Cryobiopsy in Diffuse Parenchymal Lung Disease” (Ravenna, October 27–28, 2016), which formulates evidence- and expert-based suggestions on the indications, contraindications, patient selection, and procedural aspects of the procedure. The following 5 domains were reviewed: (1) what is the role of TBCB in the diagnostic evaluation of DPLD: patient selection; (2) pathological considerations; (3) contraindications and safety considerations; (4) how should TBCB be performed and in what procedural environment; and (5) who should perform TBCB. Finally, the existence of white paper recommendations may also reassure local hospital credentialing committees tasked with endorsing an adoption of the technique.
Date Issued
2018-01-09
Date Acceptance
2017-10-05
Citation
Respiration, 2018, 95 (3), pp.188-200
ISSN
1423-0356
Publisher
Karger Publishers
Start Page
188
End Page
200
Journal / Book Title
Respiration
Volume
95
Issue
3
Copyright Statement
© 2018 S. Karger AG, Basel
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000427733000008&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Respiratory System
Transbronchial lung cryobiopsy
Diffuse parenchymal lung disease
Interstitial lung disease
Safety
Bronchoscopy
IDIOPATHIC PULMONARY-FIBROSIS
USUAL INTERSTITIAL PNEUMONIA
SUPRAGLOTTIC AIRWAY DEVICE
ACUTE EXACERBATIONS
SINGLE INSTITUTION
BIOPSY
YIELD
COMPLICATIONS
EXPERIENCE
EFFICACY
Publication Status
Published