Publications by authors named "Javier Alfayate"

Introduction: Interventional pneumology plays a crucial role in the diagnosis of peripheral pulmonary lesions (PPLs), offering a minimally invasive approach with a low risk of complications. Iriscope® is a novel device that provides a direct and real-time image of PPLs. The objective of this study was to demonstrate the feasibility and impact of Iriscope® in diagnosing PPLs by analyzing its ability to directly visualize lesions and support accurate sampling during radial probe endobronchial ultrasound (rEBUS) and electromagnetic navigation bronchoscopy (ENB) combined with rEBUS.

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Objectives: We aimed to assess the learning curves and the influence of the pathologist's performance on the endobronchial ultrasound transbronchial needle aspiration's (EBUS-TBNA's) diagnostic accuracy in a real-world study.

Design/setting: Cohort study conducted in a tertiary care university hospital (single centre) with patients referred for EBUS-TBNA.

Participants/intervention: We initially evaluated 376 patients (673 lymph nodes), 368 (660 lymph nodes) of whom were recruited.

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Background: The disposable bronchoscope is an excellent alternative to face the problem of SARS-CoV-2 and other cross infections, but the bronchoscopist's perception of its quality has not been evaluated.

Methods: To evaluate the quality of the Ambu-aScope4 disposable bronchoscope, we carried out a cross-sectional study in 21 Spanish pulmonology services. We use a standardized questionnaire completed by the bronchoscopists at the end of each bronchoscopy.

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Article Synopsis
  • The National Emphysema Treatment Trial study established lung volume reduction (LVR) as a treatment option for advanced obstructive lung disease, but high surgical complication rates prompted the development of bronchoscopic LVR (BLVR).
  • Current BLVR methods primarily include coils and unidirectional endobronchial valves, with the choice depending on the specific characteristics of the emphysema and whether collateral ventilation is present.
  • It is highly recommended that patients are evaluated at specialized centers experienced in interventional pulmonology and BLVR management for optimal care.
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