Initial experience with a novel EUS-guided core biopsy needle (SharkCore): results of a large North American multicenter study

被引：72

作者：

DiMaio, Christopher J. ^{[1
]}

Kolb, Jennifer M. ^{[1
]}

Benias, Petros C. ^{[2
]}

Shah, Hiral ^{[3
]}

Shah, Shashin ^{[3
]}

Haluszka, Oleh ^{[4
]}

Maranki, Jennifer ^{[4
]}

Sharzehi, Kaveh ^{[4
]}

Lam, Eric ^{[5
]}

Gordon, Stuart R. ^{[6
]}

Hyder, Sarah M. ^{[6
]}

Kaimakliotis, Pavlos Z. ^{[7
]}

Allaparthi, Satya B. ^{[7
]}

Gress, Frank G. ^{[8
]}

Sethi, Amrita ^{[8
]}

Shah, Ashish R. ^{[8
]}

Nieto, Jose ^{[9
]}

Kaul, Vivek ^{[10
]}

Kothari, Shivangi ^{[10
]}

Kothari, Truptesh H. ^{[10
]}

Ho, Sammy ^{[11
]}

Izzy, Manhal J. ^{[11
]}

Sharma, Neil R. ^{[12
]}

Watson, Rabindra R. ^{[13
]}

Muthusamy, V. Raman ^{[13
]}

Pleskow, Douglas K. ^{[14
]}

Berzin, Tyler M. ^{[14
]}

Sawhney, Mandeep ^{[14
]}

Aljahdi, Emad ^{[14
]}

Ryou, Marvin ^{[15
]}

Wong, Clarence K. ^{[16
]}

Gupta, Parantap ^{[17
]}

Yang, Dennis ^{[1
]}

Gonzalez, Susana ^{[1
]}

Adler, Douglas G. ^{[18
]}

机构：

[1] Icahn Sch Med Mt Sinai, Dr Henry D Janowitz Div Gastroenterol, Mt Sinai Med Ctr, One Gustave L Levy Pl,Box 1069, New York, NY 10029 USA

[2] Mt Sinai Beth Israel Med Ctr, New York, NY USA

[3] Lehigh Valley Hosp, Allentown, PA USA

[4] Temple Univ, Sch Med, Philadelphia, PA 19122 USA

[5] Univ British Columbia, Vancouver, BC, Canada

[6] Dartmouth Hitchcock Med Ctr, Lebanon, NH 03766 USA

[7] Lahey Clin Fdn, Burlington, MA USA

[8] Columbia Univ, NewYork Presbyterian Hosp, New York, NY USA

[9] Borland Groover Clin, Jacksonville, FL USA

[10] Univ Rochester, Med Ctr, Rochester, NY 14642 USA

[11] Montefiore Med Ctr, 111 E 210th St, Bronx, NY 10467 USA

[12] Parkview Hlth Syst, Wayne, IN USA

[13] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA 90095 USA

[14] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA

[15] Brigham & Womens Hosp, 75 Francis St, Boston, MA 02115 USA

[16] Univ Alberta, Edmonton, AB, Canada

[17] Crystal Run Healthcare, Middletown, NY USA

[18] Univ Utah, Sch Med, Salt Lake City, UT USA

来源：

ENDOSCOPY INTERNATIONAL OPEN | 2016年 / 4卷 / 09期

关键词：

D O I：

10.1055/s-0042-112581

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background and aims: The ability to safely and effectively obtain sufficient tissue for pathologic evaluation by using endoscopic ultrasound (EUS) guidance remains a challenge. Novel designs in EUS needles may provide for improved ability to obtain such core biopsies. The aim of this study was to evaluate the diagnostic yield of core biopsy specimens obtained using a novel EUS needle specifically designed to obtain core biopsies. Patients and methods: Multicenter retrospective review of all EUS-guided fine-needle biopsies obtained using a novel biopsy needle (SharkCore FNB needle, Medtronic, Dublin, Ireland). Data regarding patient demographics, lesion type/location, technical parameters, and diagnostic yield was obtained. Results: A total of 250 lesions were biopsied in 226 patients (Median age 66 years; 113 (50%) male). Median size of all lesions (mm): 26 (2-150). Overall, a cytologic diagnosis was rendered in 81% specimens with a median number of 3 passes. When rapid onsite cytologic evaluation (ROSE) was used, cytologic diagnostic yield was 126/149 (85%) with a median number of 3 passes; without ROSE, cytologic diagnostic yield was 31/45 (69%, P=0.03) with a median number of 3 passes. Overall, a pathologic diagnosis was rendered in 130/147 (88%) specimens with a median number of 2 passes. Pathologic diagnostic yield for specific lesion types: pancreas 70/81 (86%), subepithelial lesion 13/15 (87%), lymph node 26/28 (93%). Ten patients (10/226, 4%) experienced adverse events: 4 acute pancreatitis, 5 pain, 1 fever/cholangitis. Conclusions: Initial experience with a novel EUS core biopsy needle demonstrates excellent pathologic diagnostic yield with a minimum number of passes.

引用

页码：E974 / E979

页数：6

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