Feasibility and Safety of Endosonography-Guided Transvascular Needle Aspiration in the Diagnosis of Thoracic and Abdominal Lesions: A Meta-Analysis

医学 放射科 内镜超声 假性动脉瘤 荟萃分析 血肿 并发症 外科 内科学
作者
Huizhen Yang,Wenzhong Yang,Xiaoju Zhang,Quncheng Zhang,Ziqi Wang,Chuanliang Chen,Felix J.F. Herth
出处
期刊:Respiration [S. Karger AG]
卷期号:102 (3): 220-226
标识
DOI:10.1159/000528529
摘要

Background: Endoscopic techniques, including endobronchial ultrasound (EBUS) and endoscopic ultrasound (EUS), are used as the initial approach for the diagnosis and staging of lung cancer and the diagnosis of thoracic and abdominal lesions. Historically, the transvascular approach has been avoided because of concerns about bleeding. Objectives: This article is a systematic review of studies evaluating the feasibility and safety of transvascular needle aspiration (TVNA) under the guidance of EBUS or EUS in the diagnosis of thoracic and abdominal lesions. Methods: We performed a systematic search of the MEDLINE, Embase, and Cochrane databases to identify studies evaluating the application of EBUS/EUS-guided TVNA (EBUS/EUS-TVNA) for lesions located at the contralateral side of the vessel for which the transvascular approach was the best puncture path. We performed a meta-analysis of diagnostic yield estimations. We also reviewed the complications related to the procedure. Results: Eleven observational studies were included in the final analysis. Meta-analysis yielded a pooled overall diagnostic yield of 82.10% (95% confidence interval, 0.74–0.89) for TVNA, with an I2 value of 52%. No publication bias was detected by Egger’s test (p = 0.8528). The overall complications included minor bleeding, minor hematoma, pseudo­aneurysm of the aorta, hemoptysis, acute hypoxic respiratory failure, and moderate bleeding. The major complication rate was 2.71%. Conclusions: EBUS/EUS-TVNA is feasible and probably safe when performed by experienced endoscopists in carefully selected patients. In view of the potential risks associated with the transvascular approach, especially the development of hematoma and pseudoaneurysm, the fanning technique was avoided, and the area of aspiration should be assessed by EUS for 3 min after each aspiration. Most importantly, EBUS/EUS-TVNA should only be performed if the results will impact the clinical management.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
微雨若,,完成签到 ,获得积分10
2秒前
纯真追命完成签到 ,获得积分10
6秒前
Dawn完成签到 ,获得积分10
14秒前
杨永佳666完成签到 ,获得积分10
14秒前
烟花应助小雷采纳,获得10
15秒前
pphss发布了新的文献求助30
18秒前
neilphilosci完成签到 ,获得积分10
19秒前
2024kyt完成签到 ,获得积分10
21秒前
胖胖橘完成签到 ,获得积分10
23秒前
一缕轻曲挽南墙完成签到 ,获得积分10
24秒前
汉堡包应助聪明安筠采纳,获得10
27秒前
啦啦啦完成签到 ,获得积分10
29秒前
潇湘完成签到 ,获得积分10
29秒前
看见了紫荆花完成签到 ,获得积分10
30秒前
临风浩歌完成签到 ,获得积分10
32秒前
ghost完成签到 ,获得积分10
36秒前
shimenwanzhao完成签到 ,获得积分0
37秒前
39秒前
研友_LBRPOL完成签到 ,获得积分10
41秒前
小雷发布了新的文献求助10
46秒前
Cai完成签到,获得积分10
51秒前
miyulong完成签到 ,获得积分10
52秒前
NexusExplorer应助陈秋采纳,获得10
54秒前
高挑的洋葱完成签到,获得积分10
1分钟前
和谐的映梦完成签到,获得积分10
1分钟前
wBw完成签到,获得积分10
1分钟前
Epiphany完成签到 ,获得积分10
1分钟前
Mendle完成签到 ,获得积分10
1分钟前
搜集达人应助miyulong采纳,获得10
1分钟前
汪汪淬冰冰完成签到,获得积分10
1分钟前
huangzsdy完成签到,获得积分10
1分钟前
王小裔完成签到 ,获得积分10
1分钟前
我爱康康文献完成签到 ,获得积分10
1分钟前
SC完成签到 ,获得积分10
1分钟前
rangergzz应助汪汪淬冰冰采纳,获得10
1分钟前
小雷完成签到,获得积分10
1分钟前
1分钟前
浪麻麻完成签到 ,获得积分10
1分钟前
onevip完成签到,获得积分10
1分钟前
鞑靼完成签到 ,获得积分10
1分钟前
高分求助中
좌파는 어떻게 좌파가 됐나:한국 급진노동운동의 형성과 궤적 2500
Sustainability in Tides Chemistry 1500
TM 5-855-1(Fundamentals of protective design for conventional weapons) 1000
Cognitive linguistics critical concepts in linguistics 800
Threaded Harmony: A Sustainable Approach to Fashion 799
Livre et militantisme : La Cité éditeur 1958-1967 500
氟盐冷却高温堆非能动余热排出性能及安全分析研究 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3052652
求助须知:如何正确求助?哪些是违规求助? 2709874
关于积分的说明 7418267
捐赠科研通 2354453
什么是DOI,文献DOI怎么找? 1246090
科研通“疑难数据库(出版商)”最低求助积分说明 605951
版权声明 595921