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Transbronchial biopsy without fluoroscopy in patients with diffuse roentgenographic infiltrates and the acquired immunodeficiency syndrome.
Am Rev Respir Dis. 1988 Feb; 137(2):486-8.AR

Abstract

Transbronchial biopsy with the flexible fiberoptic bronchoscope is usually performed with the assistance of fluoroscopy in order to increase diagnostic yield and decrease the incidence of pneumothorax. We have compared the results of transbronchial biopsy performed with or without fluoroscopic guidance in patients with diffuse roentgenographic infiltrates who had or were suspected of having the acquired immunodeficiency syndrome. Neither the sensitivity for Pneumocystis carinii (88.5 versus 92%) nor the percentage of patients developing pneumothoraces after transbronchial biopsy (8.6 versus 11.1%) was significantly different in those patients who had the procedure without fluoroscopic guidance compared with those in whom fluoroscopy was used. There were no patients with significant hemorrhage or deaths in either group. This complication rate compares favorably with other reports of transbronchial biopsy in immunocompromised patients in which fluoroscopy was used. "Blind" transbronchial biopsy is a safe and effective diagnostic procedure in this patient population.

Authors+Show Affiliations

Milligan SA
Medical Service, San Francisco General Hospital Medical Center, California.
Luce JM
No affiliation info available
Golden J
No affiliation info available
Stulbarg M
No affiliation info available
Hopewell PC
No affiliation info available

MeSH

Acquired Immunodeficiency SyndromeBiopsyBronchiEvaluation Studies as TopicFiber Optic TechnologyFluoroscopyHumansLungPneumonia, PneumocystisPneumothoraxRetrospective Studies

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

3257664

Citation

Milligan, S A., et al. "Transbronchial Biopsy Without Fluoroscopy in Patients With Diffuse Roentgenographic Infiltrates and the Acquired Immunodeficiency Syndrome." The American Review of Respiratory Disease, vol. 137, no. 2, 1988, pp. 486-8.
Milligan SA, Luce JM, Golden J, et al. Transbronchial biopsy without fluoroscopy in patients with diffuse roentgenographic infiltrates and the acquired immunodeficiency syndrome. Am Rev Respir Dis. 1988;137(2):486-8.
Milligan, S. A., Luce, J. M., Golden, J., Stulbarg, M., & Hopewell, P. C. (1988). Transbronchial biopsy without fluoroscopy in patients with diffuse roentgenographic infiltrates and the acquired immunodeficiency syndrome. The American Review of Respiratory Disease, 137(2), 486-8.
Milligan SA, et al. Transbronchial Biopsy Without Fluoroscopy in Patients With Diffuse Roentgenographic Infiltrates and the Acquired Immunodeficiency Syndrome. Am Rev Respir Dis. 1988;137(2):486-8. PubMed PMID: 3257664.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transbronchial biopsy without fluoroscopy in patients with diffuse roentgenographic infiltrates and the acquired immunodeficiency syndrome. AU - Milligan,S A, AU - Luce,J M, AU - Golden,J, AU - Stulbarg,M, AU - Hopewell,P C, PY - 1988/2/1/pubmed PY - 1988/2/1/medline PY - 1988/2/1/entrez SP - 486 EP - 8 JF - The American review of respiratory disease JO - Am Rev Respir Dis VL - 137 IS - 2 N2 - Transbronchial biopsy with the flexible fiberoptic bronchoscope is usually performed with the assistance of fluoroscopy in order to increase diagnostic yield and decrease the incidence of pneumothorax. We have compared the results of transbronchial biopsy performed with or without fluoroscopic guidance in patients with diffuse roentgenographic infiltrates who had or were suspected of having the acquired immunodeficiency syndrome. Neither the sensitivity for Pneumocystis carinii (88.5 versus 92%) nor the percentage of patients developing pneumothoraces after transbronchial biopsy (8.6 versus 11.1%) was significantly different in those patients who had the procedure without fluoroscopic guidance compared with those in whom fluoroscopy was used. There were no patients with significant hemorrhage or deaths in either group. This complication rate compares favorably with other reports of transbronchial biopsy in immunocompromised patients in which fluoroscopy was used. "Blind" transbronchial biopsy is a safe and effective diagnostic procedure in this patient population. SN - 0003-0805 UR - https://www.unboundmedicine.com/medline/citation/3257664/Transbronchial_biopsy_without_fluoroscopy_in_patients_with_diffuse_roentgenographic_infiltrates_and_the_acquired_immunodeficiency_syndrome_ DB - PRIME DP - Unbound Medicine ER -