STUDY
Christopher Mallow, Hans Lee, Catherine Oberg, Jeffery Thiboutot, Jason Akulian, Allen C. Burks, Branden Luna, Sadia Benzaquen, Hitesh Batra, Jose Cardenas-Garcia, Jennifer Toth, Jay Heidecker, Adam Belanger, Jason Mcclune, Umar Osman, Venkatesh Lakshminarayanan, Nicholas Pastis, Gerard Silvestri, Alexander Chen, Lonny Yarmus. “Safety and diagnostic performance of pulmonologists performing electromagnetic guided percutaneous lung biopsy (SPiN Perc)” Respirology 2019
OVERVIEW
- + Retrospective data from 129 procedures using SPiN Perc® in 10 centers
- + Data analyzed for lesion characteristics, diagnostic yield, and adverse events
- + Mean nodule size: 27.31 mm
- + Mean nodule distance from pleura: 23.2 mm
- + On average, physicians made 1 initial pass with the introducer needle into the lesion and took 2 FNA samples and 5 core biopsies
KEY TAKEAWAYS
- + Diagnostic yield: 73.7% SPiN Perc® samples only, 81.1% combined with navigated bronchoscopy
- + Complication rate: 22.5% adverse events – of these, 17.8% were pneumothoraces
- + Results demonstrated electromagnetic guided percutaneous lung biopsy approach using SPiN Perc® yields a high diagnostic rate with minimal safety concerns
- + A main added benefit of SPiN Perc® is the ability to stage a nodule using a combined bronchoscopic and percutaneous approach in the same procedural setting
AUTHORS’ CONCLUSION
“In this study, we show that an EM-guided percutaneous lung biopsy approach yields a high diagnostic rate with minimal safety concerns and the added benefit of using a combined bronchoscopic and percutaneous staged approach to pulmonary nodule diagnostics in a single procedural setting.”
Diagnostic yield when combined with navigated bronchoscopy
