Accidental breakage of needle tip during endobronchial ultrasound-guided transbronchial needle aspiration: A case report and review of literature

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is commonly recommended for the diagnosis of mediastinal lymphadenopathy with malignant and nonmalignant etiology. EBUS-TBNA has been preferred over mediastinoscopy because of several advantages such as comparable diagnosti...

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Main Authors: Nikhil Bante, Abhijeet Singh, Ayush Gupta, Anshul Mittal, Jagdish Chander Suri
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Lung India
Subjects:
Online Access:http://www.lungindia.com/article.asp?issn=0970-2113;year=2021;volume=38;issue=1;spage=80;epage=83;aulast=Bante
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author Nikhil Bante
Abhijeet Singh
Ayush Gupta
Anshul Mittal
Jagdish Chander Suri
author_facet Nikhil Bante
Abhijeet Singh
Ayush Gupta
Anshul Mittal
Jagdish Chander Suri
author_sort Nikhil Bante
collection DOAJ
description Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is commonly recommended for the diagnosis of mediastinal lymphadenopathy with malignant and nonmalignant etiology. EBUS-TBNA has been preferred over mediastinoscopy because of several advantages such as comparable diagnostic accuracy, safety, cost-effectiveness, and less invasiveness. Hemorrhage, mediastinitis, pneumonia, mediastinal abscess, empyema, lung abscess, pericarditis, and pneumothorax have been reported as major complications of EBUS-TBNA. Equipment malfunction has been observed mostly in the form of breakage of EBUS scope parts such as working channel, optical fibers, and ultrasound probe. Needle malfunction either involving assembly leading to inability to retract the needle within the sheath or accidental breakage of the needle tip has also been reported but the evidence is still limited. We encountered an accidental breakage of needle tip while performing EBUS-TBNA procedure in a 58-year-old male having subcarinal lymphadenopathy suspected to have lung cancer. We were able to successfully retrieve the broken fragment bronchoscopically without any complications.
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spelling doaj.art-3e1593a69e47404db1d85c1475ad57712022-12-21T22:32:27ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2021-01-01381808310.4103/lungindia.lungindia_537_19Accidental breakage of needle tip during endobronchial ultrasound-guided transbronchial needle aspiration: A case report and review of literatureNikhil BanteAbhijeet SinghAyush GuptaAnshul MittalJagdish Chander SuriEndobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is commonly recommended for the diagnosis of mediastinal lymphadenopathy with malignant and nonmalignant etiology. EBUS-TBNA has been preferred over mediastinoscopy because of several advantages such as comparable diagnostic accuracy, safety, cost-effectiveness, and less invasiveness. Hemorrhage, mediastinitis, pneumonia, mediastinal abscess, empyema, lung abscess, pericarditis, and pneumothorax have been reported as major complications of EBUS-TBNA. Equipment malfunction has been observed mostly in the form of breakage of EBUS scope parts such as working channel, optical fibers, and ultrasound probe. Needle malfunction either involving assembly leading to inability to retract the needle within the sheath or accidental breakage of the needle tip has also been reported but the evidence is still limited. We encountered an accidental breakage of needle tip while performing EBUS-TBNA procedure in a 58-year-old male having subcarinal lymphadenopathy suspected to have lung cancer. We were able to successfully retrieve the broken fragment bronchoscopically without any complications.http://www.lungindia.com/article.asp?issn=0970-2113;year=2021;volume=38;issue=1;spage=80;epage=83;aulast=Banteendobronchial ultrasound-guided transbronchial needle aspirationmediastinal lymphadenopathyneedle malfunctiona
spellingShingle Nikhil Bante
Abhijeet Singh
Ayush Gupta
Anshul Mittal
Jagdish Chander Suri
Accidental breakage of needle tip during endobronchial ultrasound-guided transbronchial needle aspiration: A case report and review of literature
Lung India
endobronchial ultrasound-guided transbronchial needle aspiration
mediastinal lymphadenopathy
needle malfunctiona
title Accidental breakage of needle tip during endobronchial ultrasound-guided transbronchial needle aspiration: A case report and review of literature
title_full Accidental breakage of needle tip during endobronchial ultrasound-guided transbronchial needle aspiration: A case report and review of literature
title_fullStr Accidental breakage of needle tip during endobronchial ultrasound-guided transbronchial needle aspiration: A case report and review of literature
title_full_unstemmed Accidental breakage of needle tip during endobronchial ultrasound-guided transbronchial needle aspiration: A case report and review of literature
title_short Accidental breakage of needle tip during endobronchial ultrasound-guided transbronchial needle aspiration: A case report and review of literature
title_sort accidental breakage of needle tip during endobronchial ultrasound guided transbronchial needle aspiration a case report and review of literature
topic endobronchial ultrasound-guided transbronchial needle aspiration
mediastinal lymphadenopathy
needle malfunctiona
url http://www.lungindia.com/article.asp?issn=0970-2113;year=2021;volume=38;issue=1;spage=80;epage=83;aulast=Bante
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