Evidence map›Paper›PMID 40696305›Full record

ArticleBMC pulmonary medicine2025

Endobronchial biopsies in patients receiving clopidogrel and aspirin treatment.

Bilal Rabahoğlu, Nuri Tutar, Nur Aleyna Yetkin, Burcu Baran, İnci Gülmez

Abstract readCase Reports
In one paragraph

Article in BMC pulmonary medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
–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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Bilal RabahoğluDepartment of Pulmonary Medicine, School of Medicine, Erciyes University, Köşk Mah. Prof. Dr. Turhan Feyzioğlu Cad. No:42, Melikgazi, Kayseri, 38280, Turkey. brabahoglu@erciyes.edu.tr.ORCID http://orcid.org/0000-0002-1992-4073
Nuri TutarDepartment of Pulmonary Medicine, School of Medicine, Erciyes University, Köşk Mah. Prof. Dr. Turhan Feyzioğlu Cad. No:42, Melikgazi, Kayseri, 38280, Turkey.ORCID http://orcid.org/0000-0003-3097-4896
Nur Aleyna YetkinDepartment of Pulmonary Medicine, School of Medicine, Erciyes University, Köşk Mah. Prof. Dr. Turhan Feyzioğlu Cad. No:42, Melikgazi, Kayseri, 38280, Turkey.ORCID http://orcid.org/0000-0001-5974-9129
Burcu BaranDepartment of Pulmonary Medicine, School of Medicine, Erciyes University, Köşk Mah. Prof. Dr. Turhan Feyzioğlu Cad. No:42, Melikgazi, Kayseri, 38280, Turkey.ORCID http://orcid.org/0000-0002-6757-3140
İnci GülmezDepartment of Pulmonary Medicine, School of Medicine, Erciyes University, Köşk Mah. Prof. Dr. Turhan Feyzioğlu Cad. No:42, Melikgazi, Kayseri, 38280, Turkey.ORCID http://orcid.org/0000-0002-4476-2213

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSome patients undergoing pulmonary procedures are on at least one antiplatelet or anticoagulant agent. Discontinuing these treatments can be challenging due to the risk of severe complications, particularly following acute coronary event. While studies indicate that clopidogrel cessation is necessary before transbronchial biopsy, others suggest it may be safely continued for procedures such as endobronchial ultrasound-guided transbronchial needle aspiration. There is limited literature on performing endobronchial biopsies while patients are on clopidogrel (a P2Y12 inhibitor), with only one case report available. CASE PRESENTATION: In our three cases, the patients had endobronchial lesions causing partial or complete airway obstruction, leading to severe dyspnea and wheezing. Two of the patients were on dual antiplatelet therapy (DAPT) due to recent coronary artery syndrome treated with coronary stents, while the third was receiving the same treatment for peripheral artery disease managed with a stent. Endobronchial biopsies (EBB) were performed on all three patients without any major complications.

conclusionAlthough it is typically recommended to discontinue clopidogrel 5-7 days prior to the procedure, early diagnosis and treatment are crucial in certain cases. In these situations, where the benefits may outweigh the risks, EBB can be performed with appropriate precautions. Through our case reports, we aim to encourage further prospective studies and the establishment of updated guidelines, particularly concerning EBB in patients receiving DAPT.

Indexed as

AspirinBronchiClopidogrelPlatelet Aggregation InhibitorsAirway ObstructionBiopsyBronchoscopyHumansPeripheral Arterial DiseaseStentsAspirinClopidogrelPlatelet Aggregation InhibitorsAspirinBleedingBronchoscopyClopidogrelEndobronchial biopsy

Identifiers

PMID40696305
PMCPMC12284998

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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.