title: Successful real-time endobronchial ultrasound-guided transbronchial needle aspiration of a hilar lung mass obtained by traversing the pulmonary artery.
abstract: The utility and safety of transbronchial needle aspiration is well described. Serious complications from transbronchial needle aspiration are exceedingly rare. The addition of endoscopic ultrasonographic techniques in the form of endoscopic ultrasonography and, more recently, endobronchial ultrasonography has added valuable information regarding lymphatic anatomy of the hilum and mediastinum. In addition, the use of real-time ultrasound gives the operator visual feedback of needle placement and proximity to major surrounding structures such as the heart and great vessels. Here, the authors present the case of a 74-year-old man with a left hilar mass who underwent biopsy by means of intentional traverse of the pulmonary artery.
authors.affiliation: Medical University of South Carolina, Charleston, South Carolina, USA. vincenb@musc.edu
authors.forename: Brad
authors.initials: B
authors.lastname: Vincent
authors.forename: J Terrill
authors.initials: JT
authors.lastname: Huggins
authors.forename: Peter
authors.initials: P
authors.lastname: Doelken
authors.forename: Gerard
authors.initials: G
authors.lastname: Silvestri
mesh_terms: D000368:Aged; D044963:Biopsy, Fine-Needle / Q000379:methods*; D001999:Bronchoscopy; D019160:Endosonography / Q000379:methods*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D011651:Pulmonary Artery / Q000473:pathology*