Erbe Bronchoscopy

Did you know that cryobiopsy for mediastinal lymph nodes can improve diagnostic yield from 62% up to 94 %? A recent study by Miguel Angel Ariza Prota, Javier Pérez Pallarés, Emanuela Barisione, Sammy Onyancha, Nadia Corcione, Héctor-Enrique Torres-Rivas, Luis Fernández Fernández, Marta García Clemente and Francisco Julián López González introduces a standardized approach to mediastinal cryobiopsy, particularly valuable in challenging cases like advanced NSCLC, lymphoproliferative disorders, or granulomatous diseases. The Ariza-Pallarés method describes an ultrasound-guided pathway creation by TBNA only, enhancing diagnostic yield while not increasing complications. Did you already perfom mediastinal cryobiopsy using this 4-step-method? See the full review article here: https://lnkd.in/eS5hU2Pb #cryobiopsy #diagnosticyield #interventionalpulmonolgy

We started the year with our Specialist-to-Specialists workshop in Interventional Pulmonology, tailored for a team of doctors from the Tan Tock Seng Hospital's Respiratory Department. Participants engaged in hands-on training across three key stations: 1️⃣ Cryobiopsy: Explored the use of the Cryoprobe for specimen collection and biopsy thawing 2️⃣ Cryoextraction & APC: Practiced techniques for blood clot/foreign body extraction and Argon Plasma Coagulation 3️⃣ Hemostasis Management: Developed skills in advanced techniques for hemostasis with bronchial blockers during Cryobiopsy A heartfelt thank you to Dr. Sze-Shyang Kho for guiding this workshop and to everyone who made it a productive and educational session. To learn more about this workshop, visit: https://ow.ly/5igY50UJhCW #ErbeAcademyInSingapore #InterventionalPulmonology #Cryotechnology

Are you ready for the latest findings on transbronchial mediastinal cryobiopsy (TMC)? A recent literature review by Dr. Sze-Shyang Kho and Arthur Oliver Romero, MD, MSc, FCCP, DAABIP and two key studies by Dr Miguel Angel Ariza Prota and Dr Javier Pérez Pallarés, and Dr Thomas Gaisl highlight TMC’s growing role in diagnosing both malignant and benign mediastinal lesions. Key highlights: 🔹 TMC achieves a higher diagnostic yield than EBUS-TBNA, particularly for lymphomas and metastatic lymph nodes. 🔹 Dr Ariza-Prota and Dr Pérez-Pallarés have demonstrated success using TMC with TBNA path creation only. 🔹 The technique is minimally invasive, safe, and provides larger biopsy samples for molecular analysis, with no reported complications. 🔹 Improved diagnostic yield with EBUS-guided cryobiopsy compared with EBUS-TBNA, especially for benign diseases and uncommon tumours. Discover more in our updated MEDICAL INSIGHTS ePaper, featuring: ✅ The benefits of EBUS-TBMC compared to traditional methods ✅ The four-step Ariza-Pallarés method ✅ Key findings from clinical studies 👉 Read the full ePaper here: https://lnkd.in/efK89ckB #InnovationInPulmonology #Pulmonology #Cryobiopsy

A closer look at the innovative techniques from Japan’s live case at Pulmonology On Air 2024. Drs Toshiyuki Nakai and Yuji Matsumoto demonstrated the 2-scope method, combining a therapeutic bronchoscope with a radial EBUS probe for precise localization of peripheral pulmonary lesions. Tissue sampling was performed using a 1.7 mm cryoprobe, ensuring faster freezing times of just 3 seconds and yielding large, high-quality biopsy samples. 👉 Missed this session? Watch the full case here: https://lnkd.in/ePUPuvZc #PulmonologyOnAir #Cryobiopsy #PoA2024 #Pulmonology

Let’s revisit the live case from Zurich, presented during Pulmonology On Air 2024. Drs Carolin Steinack and Thomas Gaisl used Ion robotic bronchoscopy and cone-beam CT (CBCT) to diagnose two peripheral lung lesions near the pleura. Key highlights of the procedure: ⚪ Procedure under 30 minutes. ⚪ Successful targeting of lesions without a bronchus sign. ⚪ Cryobiopsy was performed with a 1.1 mm cryoprobe for histological analysis. This case demonstrates the potential of robotic-assisted bronchoscopy in pulmonary diagnostics. As technology continues to evolve, we’re confident that this approach will play a growing role in the future of interventional pulmonology. 👉 Missed the live case? Watch it here: https://lnkd.in/eKAizrEp #PulmonologyOnAir #RoboticBronchoscopy #ConeBeamCT #Cryobiopsy #InterventionalPulmonology

At Pulmonology On Air, Dr Sammy Onyancha demonstrated the simultaneous use of dual single-use bronchoscopes in diagnosing a solid peripheral pulmonary lesion in the Right Upper Lobe, segment 3, measuring 1.2 mm. This technique combined two single-use bronchoscopes (5.0 mm and 2.7 mm) with radial EBUS and fluoroscopy. Key steps included: ⚪ Navigation and hemostasis using the 5.0mm bronchoscope. ⚪ Lesion confirmation with radial EBUS. ⚪ Tissue sampling with a 1.1 mm cryoprobe via the 2.7 mm bronchoscope, guided by radial EBUS and fluoroscopy. 👉 Catch up on the full session and see the technique in action: https://lnkd.in/eGR3DCSK #PulmonologyOnAir #Cryobiopsy #Pulmonology #AdvancedDiagnostics

From Zurich, Switzerland, Drs Carolin Steinack and Thomas Gaisl showcased the use of Ion robotic bronchoscopy with integrated cone beam CT (CBCT) to diagnose small peripheral round lung lesions (RUL-0mm to pleura, LUL, and SUV-1mm to pleura) without a bronchus sign. Dr. Gaisl relied on virtual vision provided by special glasses to maintain constant, clear views on the screen, without needing to move. During the robotic bronchoscopy, an inspiratory breath-hold maneuver was performed. After the CBCT swipe, tool adjustments were necessary to place the Erbe 1.1 mm cryoprobe in the lesion, due to CT body divergence. The freezing times of 3-4 seconds for the 1.1 mm cryoprobe were choosen to ensure easy biopsy removal through the narrow working channel. As explained by Dr. Steinack, an inspiratory breath-hold of 10-20 minutes was part of the procedure to assist with precise targeting. #PulmonologyOnAir #PoA2024 #Pulmonology #Cryobiopsy Pulmonology On Air

In today's live case at Pulmonology On Air, Prof Christopher Lambers demonstrated an ENB-guided biopsy case on a sedated patient with jet ventilation, targeting a 1.2 cm peripheral pulmonary lesion (PPL). He explained the data collection points for registration, including verification at the carina and in lesion confirmation using radial EBUS, CT images and real time CT swipe. The case compared the 1.1 mm cryobiopsy approach with forceps biopsy, highlighting their differences and advantages in combining both. Preliminary data suggested a granuloma diagnosis. Prof. Lambers mentioned that the learning curve for the ENB approach typically requires around 10 procedures. According to him, ENB is especially indicated for PPLs of 2 cm or less and for difficult-to-reach lesions. #PulmonologyOnAir #PoA2024 #Pulmonology #Cryobiopsy

We just followed another insightful live case at Pulmonology On Air! Prof Kaid Darwiche from Essen, Germany, demonstrated the use of the Erbe 1.7 mm cryoprobe for diagnosing Interstitial Lung Disease (ILD) through a navigational procedure. Biopsy sites were selected via CT imaging, supported by EBUS probe, targeting segments 8, 9, and 10. The first biopsy, with a 3-second freezing time, showed no bleeding while maintaining a safe distance from the pleura. A second biopsy with a 4-second freezing time followed. He typically collects 6-8 samples from different segments and noted that a 5-second freeze can increase tissue size but slightly raises the risk of bleeding. Prof Darwiche emphasizes the importance of preparation for bleeding and describes the procedure as safe and efficient, providing large tissue samples for diagnostics. #PulmonologyOnAir #PoA2024 #Pulmonology #Cryobiopsy

What an impressive start from Japan! In just 25 minutes, Dr Toshiyuki Nakai and Dr Yuji Matsumoto demonstrated a remarkable live case on diagnosing peripheral pulmonary lesions. Performed under moderate sedation, the procedure showcased advanced techniques like the 2-scope method, a radial EBUS-probe, fluoroscopy, and a therapeutic bronchoscope for hemostasis. A 1.7 mm cryoprobe was used for tissue sampling, offering faster freezing times (3 seconds) and larger, high-quality biopsy samples compared to forceps. The cryoprobe’s shape memory feature enabled precise positioning within the lesion, even when it wasn’t visible on imaging. Despite the large biopsy size, the procedure resulted in minimal bleeding and no need for a blocker. The process, including ROSE evaluation by the pathologist, confirmed a suspected lung cancer diagnosis. #PulmonologyOnAir #PoA2024 #Pulmonology #Cryobiopsy Pulmonology On Air