title: Complications with Endobronchial Ultrasound with a Guide Sheath for the Diagnosis of Peripheral Pulmonary Lesions.
abstract: BACKGROUND
  Diagnostic bronchoscopy has been considered as a safe and effective procedure. Endobronchial ultrasound with a guide sheath (EBUS-GS) for the diagnosis of peripheral pulmonary lesions (PPLs) is becoming a common procedure, but reports about its safety are missing.
  
  
  OBJECTIVE
  The aim of this study was to evaluate the safety profile of EBUS-GS for the diagnosis of PPLs.
  
  
  METHODS
  All patients with PPLs who underwent EBUS-GS between September 2012 and August 2014 at the National Cancer Center Hospital were included. Postprocedural complications and the durability of devices were retrospectively reviewed.
  
  
  RESULTS
  During the study period, EBUS-GS procedures were performed for 965 PPLs. The overall complication rate was 1.3% (13/965): 0.8% (8/965) for pneumothorax and 0.5% (5/965) for pulmonary infection. There was no significant hemorrhage, air embolism, tumor seeding or procedure-related death, and there was no breakage of the guide sheath. Only four radial probes were broken during the study period without any adverse reactions.
  
  
  CONCLUSIONS
  EBUS-GS is a tolerable procedure, and the devices are durable.
authors.affiliation: Respiratory Endoscopy Division, Department of Endoscopy, National Cancer Center Hospital, Tokyo, Japan.
authors.forename: Manabu
authors.initials: M
authors.lastname: Hayama
authors.forename: Takehiro
authors.initials: T
authors.lastname: Izumo
authors.forename: Yuji
authors.initials: Y
authors.lastname: Matsumoto
authors.forename: Christine
authors.initials: C
authors.lastname: Chavez
authors.forename: Takaaki
authors.initials: T
authors.lastname: Tsuchida
authors.forename: Shinji
authors.initials: S
authors.lastname: Sasada
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001999:Bronchoscopy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D004389:Durable Medical Equipment; D019160:Endosonography / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D055613:Multiple Pulmonary Nodules / Q000175:diagnosis*; D017063:Outcome Assessment, Health Care; D011030:Pneumothorax / Q000209:etiology; D012141:Respiratory Tract Infections / Q000209:etiology; D012189:Retrospective Studies