A novel procedure of endobronchial ultrasound-guided transbronchial needle aspiration for pulmonary parenchymal lesions: The ZUTAM technique

Convex probe-endobronchial ultrasound (CP-EBUS) has been proven to be safe and accurate for identifying malignancy and granulomatous disease affecting the mediastinum and hilum. CP-EBUS can be used for intraparenchymal lesions also and has been shown to be efficacious. A subset of lesions particular...

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Main Authors: Mario Tamburrini, Siva Prasad Reddy, Vivek Gundappa, Lokesh Yagnik, Piera Peditto, Dipti Gothi, Umberto Zuccon
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Lung India
Subjects:
Online Access:http://www.lungindia.com/article.asp?issn=0970-2113;year=2020;volume=37;issue=1;spage=63;epage=65;aulast=Tamburrini
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author Mario Tamburrini
Siva Prasad Reddy
Vivek Gundappa
Lokesh Yagnik
Piera Peditto
Dipti Gothi
Umberto Zuccon
author_facet Mario Tamburrini
Siva Prasad Reddy
Vivek Gundappa
Lokesh Yagnik
Piera Peditto
Dipti Gothi
Umberto Zuccon
author_sort Mario Tamburrini
collection DOAJ
description Convex probe-endobronchial ultrasound (CP-EBUS) has been proven to be safe and accurate for identifying malignancy and granulomatous disease affecting the mediastinum and hilum. CP-EBUS can be used for intraparenchymal lesions also and has been shown to be efficacious. A subset of lesions particularly suited for CP-EBUS are those completely surrounded by lung parenchyma, centrally located, and typically close to but without an airway leading directly to them. We report a case of transbronchial needle aspiration (TBNA) done from a nodule of size 11 mm in the superior segment of the right lower lobe. EBUS-TBNA was done from this lesion, which was 5 mm away from the bronchus in the lung parenchyma with intervening normal lung tissue in between. TBNA was performed by compressing the abutting normal lung tissue, thus causing compression collapse of the intervening normal lung. We labeled this Zealous Unique Trans Arterial Maneuver as the “ZUTAM” technique.
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spelling doaj.art-bfd1fd30fabd4403b3c1d6a24aef0bb62022-12-22T02:01:33ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2020-01-01371636510.4103/lungindia.lungindia_187_19A novel procedure of endobronchial ultrasound-guided transbronchial needle aspiration for pulmonary parenchymal lesions: The ZUTAM techniqueMario TamburriniSiva Prasad ReddyVivek GundappaLokesh YagnikPiera PedittoDipti GothiUmberto ZucconConvex probe-endobronchial ultrasound (CP-EBUS) has been proven to be safe and accurate for identifying malignancy and granulomatous disease affecting the mediastinum and hilum. CP-EBUS can be used for intraparenchymal lesions also and has been shown to be efficacious. A subset of lesions particularly suited for CP-EBUS are those completely surrounded by lung parenchyma, centrally located, and typically close to but without an airway leading directly to them. We report a case of transbronchial needle aspiration (TBNA) done from a nodule of size 11 mm in the superior segment of the right lower lobe. EBUS-TBNA was done from this lesion, which was 5 mm away from the bronchus in the lung parenchyma with intervening normal lung tissue in between. TBNA was performed by compressing the abutting normal lung tissue, thus causing compression collapse of the intervening normal lung. We labeled this Zealous Unique Trans Arterial Maneuver as the “ZUTAM” technique.http://www.lungindia.com/article.asp?issn=0970-2113;year=2020;volume=37;issue=1;spage=63;epage=65;aulast=Tamburrinibronchoscopycancer (lung)endobronchial ultrasound-guided transbronchial needle aspirationparenchymal lesionszealous unique trans arterial maneuver
spellingShingle Mario Tamburrini
Siva Prasad Reddy
Vivek Gundappa
Lokesh Yagnik
Piera Peditto
Dipti Gothi
Umberto Zuccon
A novel procedure of endobronchial ultrasound-guided transbronchial needle aspiration for pulmonary parenchymal lesions: The ZUTAM technique
Lung India
bronchoscopy
cancer (lung)
endobronchial ultrasound-guided transbronchial needle aspiration
parenchymal lesions
zealous unique trans arterial maneuver
title A novel procedure of endobronchial ultrasound-guided transbronchial needle aspiration for pulmonary parenchymal lesions: The ZUTAM technique
title_full A novel procedure of endobronchial ultrasound-guided transbronchial needle aspiration for pulmonary parenchymal lesions: The ZUTAM technique
title_fullStr A novel procedure of endobronchial ultrasound-guided transbronchial needle aspiration for pulmonary parenchymal lesions: The ZUTAM technique
title_full_unstemmed A novel procedure of endobronchial ultrasound-guided transbronchial needle aspiration for pulmonary parenchymal lesions: The ZUTAM technique
title_short A novel procedure of endobronchial ultrasound-guided transbronchial needle aspiration for pulmonary parenchymal lesions: The ZUTAM technique
title_sort novel procedure of endobronchial ultrasound guided transbronchial needle aspiration for pulmonary parenchymal lesions the zutam technique
topic bronchoscopy
cancer (lung)
endobronchial ultrasound-guided transbronchial needle aspiration
parenchymal lesions
zealous unique trans arterial maneuver
url http://www.lungindia.com/article.asp?issn=0970-2113;year=2020;volume=37;issue=1;spage=63;epage=65;aulast=Tamburrini
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