Evidence map›Paper›PMID 37077551›Full record

ArticleERJ open research2023

Endobronchial ultrasound-guided transbronchial mediastinal cryobiopsy in the diagnosis of mediastinal lesions: safety, feasibility and diagnostic yield - experience in 50 cases.

Miguel Ariza-Prota, Javier Pérez-Pallarés, Alejandro Fernández-Fernández, Lucía García-Alfonso, Juan A Cascón, Héctor Torres-Rivas, Luis Fernández-Fernández, Inmaculada Sánchez, Maria Gil, Marta García-Clemente and 1 more

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
17.3field-weighted citation impact, top 1% 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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

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  20. EBUS guided trans-esophgeal cryobiopsy-two case reports.Lung India : official organ of Indian Chest Society · 2025
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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

11 authors at 2 institutions in 1 country.

Miguel Ariza-ProtaDivision of Respiratory Medicine, Hospital Universitario Central de Asturias, Oviedo, Spain.ORCID https://orcid.org/0000-0001-7183-2646
Javier Pérez-PallarésDivision of Respiratory Medicine, Hospital Universitario Santa Lucía, Cartagena, Spain.
Alejandro Fernández-FernándezDivision of Respiratory Medicine, Hospital Universitario Central de Asturias, Oviedo, Spain.
Lucía García-AlfonsoDivision of Respiratory Medicine, Hospital Universitario Central de Asturias, Oviedo, Spain.
Juan A CascónDivision of Respiratory Medicine, Hospital Universitario Central de Asturias, Oviedo, Spain.ORCID https://orcid.org/0000-0003-3563-9659
Héctor Torres-RivasDivision of Pathology, Hospital Universitario Central de Asturias, Oviedo, Spain.ORCID https://orcid.org/0000-0003-0154-5240
Luis Fernández-FernándezDivision of Pathology, Hospital Universitario Central de Asturias, Oviedo, Spain.
Inmaculada SánchezDivision of Nursery, Hospital Universitario Central de Asturias, Oviedo, Spain.
Maria GilDivision of Nursery, Hospital Universitario Central de Asturias, Oviedo, Spain.
Marta García-ClementeDivision of Respiratory Medicine, Hospital Universitario Central de Asturias, Oviedo, Spain.ORCID https://orcid.org/0000-0003-0463-5946
Francisco López-GonzálezDivision of Respiratory Medicine, Hospital Universitario Central de Asturias, Oviedo, Spain.
Hospital Universitario Central de Asturias · ESSanta Lucía University General Hospital · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is the technique of choice in the study of mediastinal and hilar lesions; however, it can be affected by the insufficiency of intact biopsy samples, which might decrease its diagnostic yield for certain conditions, thus requiring re-biopsies or additional diagnostic procedures such as mediastinoscopy when the probability of malignancy remains high. Our objectives were to 1) attempt to reproduce this technique in the same conditions that we performed EBUS-TBNA, Methods: This was a prospective study of 50 patients who underwent EBUS-TBNA and EBUS-guided transbronchial mediastinal cryobiopsy (TMC) in a single procedure using a 22-G TBNA needle and a 1.1-mm cryoprobe subsequently between January and August 2022. Patients with mediastinal lesions >1 cm were recruited, and EBUS-TBNA and TMC were performed in the same lymph node station. Results: The diagnostic yield was 82% and 96% for TBNA and TMC, respectively. Diagnostic yields were similar for sarcoidosis, while cryobiopsy was more sensitive than TBNA in lymphomas and metastatic lymph nodes. As for complications, there was no pneumothorax and in no case was there significant bleeding. There were no complications during the procedure or in the follow-up of these patients. Conclusions: TMC following our method is a minimally invasive, rapid and safe technique that can be performed in a bronchoscopy suite under moderate sedation, with a higher diagnostic yield than EBUS-TBNA, especially in cases of lymphoproliferative disorders and metastatic lymph nodes or when more biopsy sample is needed for molecular determinations.

Identifiers

PMID37077551
PMCPMC10107076
OpenAlexW4318070503

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.