title: A pitfall during endobronchial ultrasound-guided transbronchial forceps biopsy of the mediastinal lymph nodes.
abstract: The high diagnostic yield and favorable safety profile of endobronchial ultrasound-guided transbronchial forceps biopsy of the mediastinal lymph nodes have been recently demonstrated. We report an unusual technical problem during endobronchial ultrasound-guided transbronchial forceps biopsy that could be a prerequisite for severe complications. A rupture of the steering band precluded closure of the forceps jaws opened in the subcarinal lymph node. A solution to the problem is presented, together with other procedure-related complications reported in the literature. The report emphasizes that a dysfunction of the forceps steering band can result in severe complications when it occurs during transbronchial sampling of mediastinal lesions.
authors.affiliation: Interventional Pulmonology Unit, Department of Internal Medicine, Pneumonology and Allergology, Medical University of Warsaw, Warsaw, Poland. Electronic address: rafalkrenke@interia.pl.
authors.forename: Rafal
authors.initials: R
authors.lastname: Krenke
authors.affiliation: Interventional Pulmonology Unit, Department of Internal Medicine, Pneumonology and Allergology, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Korczynski
authors.affiliation: Interventional Pulmonology Unit, Department of Internal Medicine, Pneumonology and Allergology, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Gorska
authors.affiliation: Interventional Pulmonology Unit, Department of Internal Medicine, Pneumonology and Allergology, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Ryszarda
authors.initials: R
authors.lastname: Chazan
mesh_terms: D000368:Aged; D001980:Bronchi; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000295:instrumentation / Q000379:methods; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000000981:diagnostic imaging* / Q000473:pathology*; D008482:Mediastinum; D013525:Surgical Instruments