Evidence map›Paper›PMID 33902504›Full record

Observational studyBMC pulmonary medicine2021

Trans-bronchial lung cryobiopsy in patients at high-risk of complications.

Benjamin Bondue, Pascal Schlossmacher, Nathalie Allou, Virgile Gazaille, Olivier Taton, Pierre Alain Gevenois, Frederic Vandergheynst, Myriam Remmelink, Dimitri Leduc

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC pulmonary medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07326072 (The Comparative Study of Electromagnetic Navigation Bronchoscopic With Ultra-thin Cryobiopsy and Forceps Biopsy in the Diagnosis of Peripheral Pulmonary Nodules), which is not on this map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT07326072 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

The Comparative Study of Electromagnetic Navigation Bronchoscopic With Ultra-thin Cryobiopsy and Forceps Biopsy in the Diagnosis of Peripheral Pulmonary Nodules

TypeinterventionalSponsorBeijing Chao Yang HospitalRan2025 to 2027Enrolled228ConditionsDiagnosisArmsCryobiopsy, Forceps biopsy
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  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
    Pooled it
  2. A systematic review of procedural and sampling techniques for cryobiopsy in interstitial lung disease.European respiratory review : an official journal of the European Respiratory Society · 2024
    Pooled it
  3. Guideline
  4. Article
  5. Opportunities for Interventional Radiology in Transbronchial Interventions.Cardiovascular and interventional radiology · 2026
    Review
  6. Observational
  7. Article
  8. Review
  9. Article
  10. Advances in idiopathic pulmonary fibrosis diagnosis and treatment.Chinese medical journal pulmonary and critical care medicine · 2025
    Review
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Benjamin BondueDepartment of Pneumology, Hôpital Erasme, Université libre de Bruxelles, 808 route de Lennik, 1070, Brussels, Belgium. benjamin.bondue@erasme.ulb.ac.be.
Pascal SchlossmacherDepartment of Pneumology, University Hospital of La Reunion, Saint Denis, France.
Nathalie AllouDepartment of Pneumology, University Hospital of La Reunion, Saint Denis, France.
Virgile GazailleDepartment of Pneumology, University Hospital of La Reunion, Saint Denis, France.
Olivier TatonDepartment of Pneumology, Hôpital Erasme, Université libre de Bruxelles, 808 route de Lennik, 1070, Brussels, Belgium.
Pierre Alain GevenoisDepartment of Radiology, Hôpital Erasme, Université libre de Bruxelles, Brussels, Belgium.
Frederic VandergheynstDepartment of Internal Medicine, Hôpital Erasme, Université libre de Bruxelles, Brussels, Belgium.
Myriam RemmelinkDepartment of Pathology, Hôpital Erasme, Université libre de Bruxelles, Brussels, Belgium.
Dimitri LeducDepartment of Pneumology, Hôpital Erasme, Université libre de Bruxelles, 808 route de Lennik, 1070, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe surgical lung biopsy (SLB) is the recommended sampling technique when the pathological analysis of the lung is required in the work-up of an interstitial lung disease (ILD) but trans-bronchial lung cryobiopsy (TBLC) is increasingly recognized as an alternative approach. As TBLCs have lower mortality and morbidity risks than SLB, this study aimed to investigate the safety of TBLCs in patients at higher risk of complications and for whom SLB was not considered as an alternative.

methodThis prospective study was conducted in two hospitals in which TBLCs were performed in patients with body mass index (BMI) > 35, and/or older than 75 years, and/or with severely impaired lung function (FVC < 50% or DLCO < 30%), and/or systolic pulmonary artery pressure > 45 mmHg, and/or a clinically significant cardiac disease. Patients with any of these risk factors constituted the high-risk group. Clinical outcomes were compared with those obtained in patients without these risk factors (low-risk group).

resultsNinety-six patients were included between April 2015 and April 2020, respectively 38 and 58 in the high-risk or the low-risk group. No statistically significant difference was observed between both groups in terms of severity and rate of bleeding, pneumothorax, or duration of hospital stay (p value ranging from 0.419 to 0.914).

conclusionThis preliminary study on a limited number of patients suggests that TBLC appears safe in those in whom lung biopsy is at high-risk of complications according to their age, BMI, lung impairment, and cardiac comorbidities.

Indexed as

AgedBiopsyBronchiCryosurgeryFemaleHumansLungLung Diseases, InterstitialMaleMiddle AgedPostoperative ComplicationsProspective StudiesRisk FactorsCryobiopsyDiffuse parenchymal lung diseaseILDInterstitial lung diseasePulmonary fibrosisSLBSurgical lung biopsyTBLCTrans-bronchial lung cryobiopsy

Identifiers

PMID33902504
PMCPMC8074461

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Registered trials

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.