Evidence map›Paper›PMID 41982166›Full record

Observational studyPulmonary medicine2026

Feasibility and Safety of 1.1-mm Cryobiopsy for Acute Rejection Surveillance in Lung Transplant Recipients: A Comparative Study and Review of the Literature.

Alanna Barrios-Ruiz, Alejandra Yu Lee-Mateus, Bryan F Vaca-Cartagena, Paola Gutierrez-Gallegos, Rodrigo Funes-Ferrada, Prasanth Balasubramanian, Andras Khoor, Sadia Z Shah, Francisco G Alvarez, Maher Baz and 5 more

Abstract readComparative StudyReviewObservational Study
In one paragraph

Observational study in Pulmonary medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed.

  1. Observational
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

15 authors.

Alanna Barrios-RuizDivision of Pulmonary, Allergy and Sleep Medicine, Mayo Clinic, Jacksonville, Florida, USA, mayo.edu.ORCID https://orcid.org/0000-0001-8332-8682
Alejandra Yu Lee-MateusDivision of Pulmonary, Allergy and Sleep Medicine, Mayo Clinic, Jacksonville, Florida, USA, mayo.edu.ORCID https://orcid.org/0000-0003-1384-6761
Bryan F Vaca-CartagenaDivision of Pulmonary, Allergy and Sleep Medicine, Mayo Clinic, Jacksonville, Florida, USA, mayo.edu.ORCID https://orcid.org/0000-0003-3970-3259
Paola Gutierrez-GallegosDivision of Pulmonary, Allergy and Sleep Medicine, Mayo Clinic, Jacksonville, Florida, USA, mayo.edu.ORCID https://orcid.org/0000-0001-6586-1993
Rodrigo Funes-FerradaDivision of Pulmonary, Allergy and Sleep Medicine, Mayo Clinic, Jacksonville, Florida, USA, mayo.edu.ORCID https://orcid.org/0009-0007-3361-5107
Prasanth BalasubramanianDepartment of Transplantation, Mayo Clinic, Jacksonville, Florida, USA, mayo.edu.ORCID https://orcid.org/0000-0002-8963-1583
Andras KhoorDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Jacksonville, Florida, USA, mayo.edu.ORCID https://orcid.org/0000-0003-0371-0414
Sadia Z ShahDepartment of Transplantation, Mayo Clinic, Jacksonville, Florida, USA, mayo.edu.ORCID https://orcid.org/0000-0001-5588-3873
Francisco G AlvarezDepartment of Transplantation, Mayo Clinic, Jacksonville, Florida, USA, mayo.edu.ORCID https://orcid.org/0000-0002-3692-9757
Maher BazDepartment of Transplantation, Mayo Clinic, Jacksonville, Florida, USA, mayo.edu.
Tathagat NarulaDepartment of Transplantation, Mayo Clinic, Jacksonville, Florida, USA, mayo.edu.ORCID https://orcid.org/0000-0003-4631-9888
Remzi BagDepartment of Transplantation, Mayo Clinic, Jacksonville, Florida, USA, mayo.edu.ORCID https://orcid.org/0000-0001-8313-6015
Kelly S RobertsonDivision of Pulmonary, Allergy and Sleep Medicine, Mayo Clinic, Jacksonville, Florida, USA, mayo.edu.ORCID https://orcid.org/0009-0004-3770-5933
Sebastian Fernandez-BussyDivision of Pulmonary, Allergy and Sleep Medicine, Mayo Clinic, Jacksonville, Florida, USA, mayo.edu.ORCID https://orcid.org/0000-0002-3847-4127
David Abia-TrujilloDivision of Pulmonary, Allergy and Sleep Medicine, Mayo Clinic, Jacksonville, Florida, USA, mayo.edu.ORCID https://orcid.org/0000-0002-2064-292X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdentifying graft rejection after lung transplantation remains challenging, and no consensus exists on the optimal surveillance strategy. Transbronchial forceps biopsy (FBx) is the conventional method but is limited by small sample size and crush artifacts. Sheath-guided cryobiopsy (CBx) using a novel 1.1-mm probe has emerged as a promising alternative. This study evaluates the feasibility and safety of the 1.1-mm cryoprobe and provides a focused review of current literature.

methodsWe conducted a retrospective observational single-center study between October 2022 and January 2023 of adult lung transplant recipients who underwent transbronchial biopsies for surveillance. Procedures were performed using either standard FBx or the 1.1-mm cryoprobe. Descriptive analyses compared feasibility and safety between groups.

resultsWe identified 72 lung transplant recipients who underwent 109 surveillance biopsies. A total of n = 56 CBx and n = 53 FBx procedures were performed. The median procedure time was 20 min (IQR 17-26) in the CBx group versus 22 min (IQR 15-33) in the FBx group. We found a statistically higher median sample area for CBx compared with FBx (11 vs. 6 mm

conclusionCBx with a 1.1-mm probe provides larger histological samples than FBx, with comparable safety and potentially shorter procedural times. These findings support its feasibility for lung transplant surveillance.

Indexed as

BronchoscopyCryosurgeryGraft RejectionLungLung TransplantationAdultBiopsyFeasibility StudiesFemaleHumansMaleMiddle AgedRetrospective Studiesbronchoscopylung biopsylung transplanttransbronchial cryobiopsytransbronchial forceps

Identifiers

PMID41982166
PMCPMC13080343

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.