A Multidisciplinary Proposal for a Diagnostic Algorithm in Idiopathic Pulmonary Fibrosis: The Role of Transbronchial Cryobiopsy

被引：5

作者：

Castillo, Diego ^{[1
]}

Sanchez-Font, Albert ^{[2
]}

Pajares, Virginia ^{[1
]}

Franquet, Tomas ^{[3
]}

Llatjos, Roger ^{[4
]}

Sansano, Irene ^{[5
]}

Sellares, Jacobo ^{[6
]}

Centeno, Carmen ^{[7
]}

Fibla, Juan J. ^{[8
]}

Sanchez, Marcelo ^{[9
]}

Ramirez, Jose ^{[10
]}

Moreno, Amalia ^{[11
]}

Carlos Trujillo-Reyes, Juan ^{[12
]}

Barbeta, Enric ^{[13
]}

Molina-Molina, Maria ^{[14
]}

Torrego, Alfons ^{[1
]}

机构：

[1] Hosp Santa Creu & Sant Pau, Serv Neumol, Barcelona, Spain

[2] UAB UPF, IMIM, Serv Neumol, Hosp Mar Parc Salut Mar, Barcelona, Spain

[3] CIBER Enfermedades Resp CIBERES, Barcelona, Spain

[4] Hosp Bellvitge Princeps Espanya, Serv Anat Patol, Lhospitalet De Llobregat, Spain

[5] Hosp Valle De Hebron, Serv Anat Patolog, Barcelona, Spain

[6] IDIBAPS, Serv Neumol, Hosp Clin, Barcelona, Spain

[7] Hosp Badalona Germans Trias & Pujol, Serv Neumol, Badalona, Spain

[8] Hosp Sagrat Cor, Serv Cirugia Torac, Barcelona, Spain

[9] Hosp Clin Barcelona, Serv Radiol, Barcelona, Spain

[10] Univ Barcelona, Hosp Clin, Serv Anat Patol, IDIBAPS, Barcelona, Spain

[11] Hosp Parc Tauli, Serv Neumol, Sabadell, Spain

[12] Hosp Santa Creu & Sant Pau, Serv Cirugia Torac, Barcelona, Spain

[13] Hosp Univ Gen Granollers, Unitat Pneumol, Granollers, Spain

[14] IDIBELL, Serv Neumol, Hosp Bellvitge, Lhospitalet De Llobregat, Spain

来源：

ARCHIVOS DE BRONCONEUMOLOGIA | 2020年 / 56卷 / 02期

关键词：

Diffuse interstitial lung disease; Idiopathic pulmonary fibrosis; Transbronchial cryobiopsy; Surgical lung biopsy; Diagnosis; INTERSTITIAL LUNG-DISEASE; HIGH-RESOLUTION CT; BIOPSY; SAFETY; STATEMENT; YIELD; COMPLICATIONS; UTILITY;

D O I：

10.1016/j.arbres.2019.07.001

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

The diagnosis of idiopathic pulmonary fibrosis (IPF) is a complex process that requires the multidisciplinary integration of clinical, radiological, and histological variables. Due to its diagnostic yield, surgical lung biopsy has been the recommended procedure for obtaining samples of lung parenchyma, when required. However, given the morbidity and mortality of this technique, alternative techniques which carry a lower risk have been explored. The most important of these is transbronchial cryobiopsy-transbronchial biopsy with a cryoprobe- which is useful for obtaining lung tissue with less comorbidity. Yield may be lower than surgical biopsy, but it is higher than with transbronchial biopsy with standard forceps. This option has been discussed in the recent clinical guidelines for the diagnosis of IPF, but the authors do not go so far as recommend it. The aim of this article, the result of a multidisciplinary discussion forum, is to review current evidence and make proposals for the use of transbronchial cryobiopsy in the diagnosis of IPF. (C) 2020 Published by Elsevier Espaiia, S.L.U. on behalf of SEPAR.

引用

页码：99 / 105

页数：7

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