Safety of endobronchial ultrasound‐guided transbronchial needle aspiration in patients with lung cancer within a year after percutaneous coronary intervention

Background Endobronchial ultrasound‐guided transbronchial needle aspiration (EBUS‐TBNA) may be necessary for patients with incidental lung cancer during or after coronary intervention. Although EBUS‐TBNA is quite safe, the safety in patients who recently received percutaneous coronary intervention (...

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Veröffentlicht in:Thoracic cancer 2018-11, Vol.9 (11), p.1390-1397
Hauptverfasser: Gil, Hyun‐Il, Choe, Junsu, Jeong, Byeong‐Ho, Um, Sang‐Won, Jeon, Kyeongman, Hahn, Joo‐Yong, Kim, Hojoong, Kwon, O Jung, Chang, Yoon Soo, Lee, Kyungjong
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container_end_page 1397
container_issue 11
container_start_page 1390
container_title Thoracic cancer
container_volume 9
creator Gil, Hyun‐Il
Choe, Junsu
Jeong, Byeong‐Ho
Um, Sang‐Won
Jeon, Kyeongman
Hahn, Joo‐Yong
Kim, Hojoong
Kwon, O Jung
Chang, Yoon Soo
Lee, Kyungjong
description Background Endobronchial ultrasound‐guided transbronchial needle aspiration (EBUS‐TBNA) may be necessary for patients with incidental lung cancer during or after coronary intervention. Although EBUS‐TBNA is quite safe, the safety in patients who recently received percutaneous coronary intervention (PCI) has not been demonstrated. The aim of this study was to assess the safety of EBUS‐TBNA in patients with lung cancer who underwent PCI within one year. Methods We retrospectively reviewed the medical records of 24 patients who underwent EBUS‐TBNA within one year after PCI between May 2009 and June 2017. Cardiovascular complications (death, myocardial infarction, arrhythmia, and acute heart failure) were assessed as primary outcomes. Procedural‐related complications were assessed as secondary outcomes. Results The coronary artery diseases requiring PCI were: myocardial infarction (n = 10), unstable angina (n = 10), stable angina (n = 2), and silent ischemia (n = 2). The median interval between PCI and EBUS‐TBNA was 125 days (interquartile range: 66–180). Atrial fibrillation with a rapid ventricular response temporarily occurred in one patient after EBUS‐TBNA. No other significant cardiovascular complications were encountered. Fifteen patients were administered an anti‐thrombotic agent the day of EBUS‐TBNA, while four had ceased taking the agent < 4 days before EBUS‐TBNA, however, there was no significant bleeding among those patients. Conclusion EBUS‐TBNA was safe and did not cause serious adverse events in patients with lung cancer who required tissue confirmation or mediastinal staging within one year after PCI. Incidental lung cancer found during or after a coronary intervention should be actively evaluated by EBUS‐TBNA.
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Although EBUS‐TBNA is quite safe, the safety in patients who recently received percutaneous coronary intervention (PCI) has not been demonstrated. The aim of this study was to assess the safety of EBUS‐TBNA in patients with lung cancer who underwent PCI within one year. Methods We retrospectively reviewed the medical records of 24 patients who underwent EBUS‐TBNA within one year after PCI between May 2009 and June 2017. Cardiovascular complications (death, myocardial infarction, arrhythmia, and acute heart failure) were assessed as primary outcomes. Procedural‐related complications were assessed as secondary outcomes. Results The coronary artery diseases requiring PCI were: myocardial infarction (n = 10), unstable angina (n = 10), stable angina (n = 2), and silent ischemia (n = 2). The median interval between PCI and EBUS‐TBNA was 125 days (interquartile range: 66–180). Atrial fibrillation with a rapid ventricular response temporarily occurred in one patient after EBUS‐TBNA. No other significant cardiovascular complications were encountered. Fifteen patients were administered an anti‐thrombotic agent the day of EBUS‐TBNA, while four had ceased taking the agent &lt; 4 days before EBUS‐TBNA, however, there was no significant bleeding among those patients. Conclusion EBUS‐TBNA was safe and did not cause serious adverse events in patients with lung cancer who required tissue confirmation or mediastinal staging within one year after PCI. Incidental lung cancer found during or after a coronary intervention should be actively evaluated by EBUS‐TBNA.</description><identifier>ISSN: 1759-7706</identifier><identifier>EISSN: 1759-7714</identifier><identifier>DOI: 10.1111/1759-7714.12846</identifier><identifier>PMID: 30156380</identifier><language>eng</language><publisher>Melbourne: John Wiley &amp; Sons Australia, Ltd</publisher><subject>Aged ; Angioplasty ; Blood pressure ; Bronchoscopy ; Cardiac arrhythmia ; Cardiology ; Cardiovascular disease ; Care and treatment ; Clopidogrel ; Coronary vessels ; Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods ; endoscopic ultrasound‐guided fine needle aspiration ; Female ; Heart attack ; Heart diseases ; Humans ; Lung cancer ; lung neoplasm ; Lung Neoplasms - diagnostic imaging ; Lung Neoplasms - pathology ; Lung Neoplasms - surgery ; Male ; Middle Aged ; neoplasm staging ; Original ; Patients ; percutaneous coronary intervention ; Percutaneous Coronary Intervention - methods ; Retrospective Studies ; Safety and security measures ; Stents ; Studies ; Tomography ; Transluminal angioplasty ; Ultrasonic imaging</subject><ispartof>Thoracic cancer, 2018-11, Vol.9 (11), p.1390-1397</ispartof><rights>2018 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley &amp; Sons Australia, Ltd</rights><rights>2018 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley &amp; Sons Australia, Ltd.</rights><rights>COPYRIGHT 2018 John Wiley &amp; Sons, Inc.</rights><rights>2018. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). 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Although EBUS‐TBNA is quite safe, the safety in patients who recently received percutaneous coronary intervention (PCI) has not been demonstrated. The aim of this study was to assess the safety of EBUS‐TBNA in patients with lung cancer who underwent PCI within one year. Methods We retrospectively reviewed the medical records of 24 patients who underwent EBUS‐TBNA within one year after PCI between May 2009 and June 2017. Cardiovascular complications (death, myocardial infarction, arrhythmia, and acute heart failure) were assessed as primary outcomes. Procedural‐related complications were assessed as secondary outcomes. Results The coronary artery diseases requiring PCI were: myocardial infarction (n = 10), unstable angina (n = 10), stable angina (n = 2), and silent ischemia (n = 2). The median interval between PCI and EBUS‐TBNA was 125 days (interquartile range: 66–180). Atrial fibrillation with a rapid ventricular response temporarily occurred in one patient after EBUS‐TBNA. No other significant cardiovascular complications were encountered. Fifteen patients were administered an anti‐thrombotic agent the day of EBUS‐TBNA, while four had ceased taking the agent &lt; 4 days before EBUS‐TBNA, however, there was no significant bleeding among those patients. Conclusion EBUS‐TBNA was safe and did not cause serious adverse events in patients with lung cancer who required tissue confirmation or mediastinal staging within one year after PCI. 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Choe, Junsu ; Jeong, Byeong‐Ho ; Um, Sang‐Won ; Jeon, Kyeongman ; Hahn, Joo‐Yong ; Kim, Hojoong ; Kwon, O Jung ; Chang, Yoon Soo ; Lee, Kyungjong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5346-60ff54e9fee065ec6ba3ead00b78222aeaf50cbf4f20c750b52c878cdb386ad73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Angioplasty</topic><topic>Blood pressure</topic><topic>Bronchoscopy</topic><topic>Cardiac arrhythmia</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Care and treatment</topic><topic>Clopidogrel</topic><topic>Coronary vessels</topic><topic>Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods</topic><topic>endoscopic ultrasound‐guided fine needle aspiration</topic><topic>Female</topic><topic>Heart attack</topic><topic>Heart diseases</topic><topic>Humans</topic><topic>Lung cancer</topic><topic>lung neoplasm</topic><topic>Lung Neoplasms - diagnostic imaging</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>neoplasm staging</topic><topic>Original</topic><topic>Patients</topic><topic>percutaneous coronary intervention</topic><topic>Percutaneous Coronary Intervention - methods</topic><topic>Retrospective Studies</topic><topic>Safety and security measures</topic><topic>Stents</topic><topic>Studies</topic><topic>Tomography</topic><topic>Transluminal angioplasty</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gil, Hyun‐Il</creatorcontrib><creatorcontrib>Choe, Junsu</creatorcontrib><creatorcontrib>Jeong, Byeong‐Ho</creatorcontrib><creatorcontrib>Um, Sang‐Won</creatorcontrib><creatorcontrib>Jeon, Kyeongman</creatorcontrib><creatorcontrib>Hahn, Joo‐Yong</creatorcontrib><creatorcontrib>Kim, Hojoong</creatorcontrib><creatorcontrib>Kwon, O Jung</creatorcontrib><creatorcontrib>Chang, Yoon Soo</creatorcontrib><creatorcontrib>Lee, Kyungjong</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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Although EBUS‐TBNA is quite safe, the safety in patients who recently received percutaneous coronary intervention (PCI) has not been demonstrated. The aim of this study was to assess the safety of EBUS‐TBNA in patients with lung cancer who underwent PCI within one year. Methods We retrospectively reviewed the medical records of 24 patients who underwent EBUS‐TBNA within one year after PCI between May 2009 and June 2017. Cardiovascular complications (death, myocardial infarction, arrhythmia, and acute heart failure) were assessed as primary outcomes. Procedural‐related complications were assessed as secondary outcomes. Results The coronary artery diseases requiring PCI were: myocardial infarction (n = 10), unstable angina (n = 10), stable angina (n = 2), and silent ischemia (n = 2). The median interval between PCI and EBUS‐TBNA was 125 days (interquartile range: 66–180). Atrial fibrillation with a rapid ventricular response temporarily occurred in one patient after EBUS‐TBNA. No other significant cardiovascular complications were encountered. Fifteen patients were administered an anti‐thrombotic agent the day of EBUS‐TBNA, while four had ceased taking the agent &lt; 4 days before EBUS‐TBNA, however, there was no significant bleeding among those patients. Conclusion EBUS‐TBNA was safe and did not cause serious adverse events in patients with lung cancer who required tissue confirmation or mediastinal staging within one year after PCI. Incidental lung cancer found during or after a coronary intervention should be actively evaluated by EBUS‐TBNA.</abstract><cop>Melbourne</cop><pub>John Wiley &amp; Sons Australia, Ltd</pub><pmid>30156380</pmid><doi>10.1111/1759-7714.12846</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-1642-8111</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aged
Angioplasty
Blood pressure
Bronchoscopy
Cardiac arrhythmia
Cardiology
Cardiovascular disease
Care and treatment
Clopidogrel
Coronary vessels
Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods
endoscopic ultrasound‐guided fine needle aspiration
Female
Heart attack
Heart diseases
Humans
Lung cancer
lung neoplasm
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - pathology
Lung Neoplasms - surgery
Male
Middle Aged
neoplasm staging
Original
Patients
percutaneous coronary intervention
Percutaneous Coronary Intervention - methods
Retrospective Studies
Safety and security measures
Stents
Studies
Tomography
Transluminal angioplasty
Ultrasonic imaging
title Safety of endobronchial ultrasound‐guided transbronchial needle aspiration in patients with lung cancer within a year after percutaneous coronary intervention
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