Transbronchial cryobiopsy for diffuse parenchymal lung disease: a state-of-the-art review of procedural techniques, current evidence, and future challenges.

Abstract:

:Transbronchial lung biopsy with a cryoprobe, or cryobiopsy, is a promising new bronchoscopic biopsy technique capable of obtaining larger and better-preserved samples than previously possible using traditional biopsy forceps. Over two dozen case series and several small randomized trials are now available describing experiences with this technique, largely for the diagnosis of diffuse parenchymal lung disease (DPLD), in which the reported diagnostic yield is typically 70% to 80%. Cryobiopsy technique varies widely between centers and this predominantly single center-based retrospective literature heterogeneously defines diagnostic yield and complications, limiting the degree to which this technique can be compared between centers or to surgical lung biopsy (SLB). This review explores the broad range of cryobiopsy techniques currently in use, their rationale, the current state of the literature, and suggestions for the direction of future study into this promising but unproven procedure.

journal_name

J Thorac Dis

authors

Lentz RJ,Argento AC,Colby TV,Rickman OB,Maldonado F

doi

10.21037/jtd.2017.06.96

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

2186-2203

issue

7

eissn

2072-1439

issn

2077-6624

pii

jtd-09-07-2186

journal_volume

9

pub_type

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