Evidence map›Paper›PMID 27254138›Full record

ArticleRespirology (Carlton, Vic.)2016

Usefulness of an angioplasty balloon as selective bronchial blockade device after transbronchial cryobiopsy.

José Javier Echevarria-Uraga, Julio Pérez-Izquierdo, Nerea García-Garai, Estíbaliz Gómez-Jiménez, Amaia Aramburu-Ojembarrena, Luis Tena-Tudanca, José L Miguélez-Vidales, Alberto Capelastegui-Saiz

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In one paragraph

Article in Respirology (Carlton, Vic.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Yield and safety of different biopsy types in interstitial lung disease: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
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  15. Transbronchial cryobiopsy for diagnosing parenchymal lung diseases: real-life experience from a tertiary referral center.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

José Javier Echevarria-UragaDepartment of Radiology, Hospital Galdakao Usansolo, Basque Country, Spain.ORCID 0000-0003-1399-7447
Julio Pérez-IzquierdoDepartment of Pulmonology, Hospital Galdakao Usansolo, Basque Country, Spain.
Nerea García-GaraiDepartment of Radiology, Hospital Galdakao Usansolo, Basque Country, Spain.
Estíbaliz Gómez-JiménezDepartment of Radiology, Hospital Galdakao Usansolo, Basque Country, Spain.
Amaia Aramburu-OjembarrenaDepartment of Pulmonology, Hospital Galdakao Usansolo, Basque Country, Spain.
Luis Tena-TudancaDepartment of Anesthesiology, Hospital Galdakao Usansolo, Basque Country, Spain.
José L Miguélez-VidalesDepartment of Radiology, Hospital Galdakao Usansolo, Basque Country, Spain.
Alberto Capelastegui-SaizDepartment of Pulmonology, Hospital Galdakao Usansolo, Basque Country, Spain.
Hospital de Galdakao · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveTransbronchial cryobiopsy (TBCB) is a technique in which frozen samples of lung are obtained using a probe inserted through a bronchoscope. We performed a retrospective study to assess the performance of the TBCB procedure complemented by segmental bronchial blockade using an angioplasty balloon, in terms of diagnostic yield and safety in diffuse parenchymal lung disease (DPLD).

methodsData from 100 patients with suspected DPLD (clinical and radiological findings), who underwent TBCB in our institution to establish a definitive diagnosis, were reviewed. In our institution, TBCB is monitored with fluoroscopy and performed under general anaesthesia by a multidisciplinary team (an anaesthesiologist, a pulmonologist and an interventional radiologist). In each patient, four samples were collected using a 2.4-mm distal diameter cryoprobe. To control bleeding, the biopsied segmental bronchus was blocked with a 6-mm diameter angioplasty balloon, inserted over a 0.035-inch angled hydrophilic guidewire. After the cryoextraction, the balloon was inflated for 3 min intervals until bleeding stopped.

resultsOverall, 98% of samples had diagnostic value. In 85% of cases, DPLD was confirmed, while in 7%, cancer was diagnosed. Complications were observed in 16% of the patients: 13 patients developed moderate haemorrhage, and 3 developed pneumothorax.

conclusionTransbronchial cryobiopsy had a high diagnostic yield for DPLD. Performing the procedure under fluoroscopy guidance and using angioplasty balloon for selective bronchial blockade achieved a low rate of iatrogenic complications directly associated with the technique.

Indexed as

Image-Guided BiopsySpecimen HandlingAdultAgedAngioplasty, BalloonBronchoscopyCryopreservationFemaleFluoroscopyHumansLungLung Diseases, InterstitialMaleMiddle AgedPostoperative HemorrhageRetrospective Studiesangioplasty balloonbronchoscopycryoablationdiffuse parenchymal lung diseasesimage-guided biopsy

Identifiers

PMID27254138
OpenAlexW2416256448

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.