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The US4ABL Strategy: A Systematic Ultrasound-Guided Approach for Left Atrial and Ventricular Ablation Procedures.
J Clin Med
December 2024
Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty, Heinrich-Heine University, 40225 Düsseldorf, Germany.
: The safety and efficacy of electrophysiological (EP) procedures using ultrasound (US) guidance are being increasingly studied. We investigated if a systematic workflow with ultrasound guidance (the US4ABL), comprising four steps (transesophageal echocardiography (TEE) for left atrial thrombus exclusion, US of the groin vessels to guide femoral access, TEE-aided transseptal puncture, and transthoracic echocardiography (TTE) for exclusion of pericardial tamponade after the procedure), reduces the number of complications and fluoroscopy duration and dose. : A total of 212 consecutive patients underwent left-sided ablations using the US4ABL workflow and were compared to a group of 299 patients who underwent the same type of ablations using post-procedural TTE to exclude tamponade (standard group: venous and/or arterial access by palpation and fluoroscopy, and pressure guided transseptal puncture).
View Article and Find Full Text PDFIdentifying Risk Factors Associated With False-Negative Results in US-Guided Percutaneous Transthoracic Needle Lung Biopsy of Subpleural Pulmonary Lesions.
Thorac Cancer
January 2025
Department of Ultrasonography, Shanghai Pulmonary Hospital of Tongji University School of Medicine, Shanghai, China.
Background: This study aims to investigate the factors influencing false-negative results in ultrasound-guided percutaneous transthoracic needle lung biopsy results (US-PTLB).
Materials And Methods: This ambispective cohort study included patients with subpleural pulmonary lesions who underwent US-PTLB with benign pathological findings between April 2017 and June 2022 (retrospective cohort) and between July 2022 and October 2022 (prospective cohort). In the retrospective cohort, comparative and logistic regression analyses were performed to identify independent risk factors for false-negative biopsy results.
Diagnostic Yield and Complications of Ultrasound-Guided Trans-Thoracic Biopsies by Pulmonologists: A Single-Center Retrospective Study of Lesions with Pleural Contact.
Respiration
December 2024
Interventional Pulmonology Unit, Department of Pulmonology, Allergology and Oncology, North University Hospital, Assistance Publique-Hôpitaux de Marseille, Marseille, France.
Introduction: Ultrasound-guided trans-thoracic needle biopsy (US-TTNB) is a method of choice for the diagnostic management of peripheral lung lesions and pleural masses for pulmonologists. If complication risk factors and diagnostic yield have been well reported for CT-guided biopsies, publications for US-TTNB in this field are very scarce.
Methods: The primary objective of this study was to describe the diagnostic yield of US-TTNB carried out by pulmonologists defined by a definitive histopathological diagnosis.
Application of ultrasound-guided inferior vena cava collapsibility measurement in volume assessment for patients undergoing single-shot spinal anesthesia in total hip arthroplasty.
Medicine (Baltimore)
November 2024
Department of Anesthesiology, Neijiang Hospital of Traditional Chinese Medicine, Neijiang, Sichuan, China.
Article Synopsis
- The study evaluated the effectiveness of ultrasound in assessing blood volume changes during spinal anesthesia for hip surgery in 100 patients over two years.
- Transthoracic echocardiography measured the abdominal aorta's diameter and assessed the inferior vena cava's metrics, which helped categorize patients into volume-responsive and volume-nonresponsive groups after a volume load test.
- The findings indicated that certain inferior vena cava parameters are good predictors of both volume responsiveness and the risk of hypotension post-anesthesia, with significant differences noted between the two patient groups.
Efficacy and safety of radial probe endobronchial ultrasound-guided biopsy for peripheral lung lesions in chronic obstructive pulmonary disease patients.
Transl Lung Cancer Res
October 2024
Division of Pulmonology and Allergy, Department of Internal Medicine, Yeungnam University College of Medicine, Yeungnam University Hospital, Daegu, Republic of Korea.
Background: Chronic obstructive pulmonary disease (COPD) is associated with frequent complications after transthoracic biopsy. Radial probe endobronchial ultrasound-guided transbronchial lung biopsy (RP-EBUS-TBLB) is widely used to diagnose peripheral pulmonary lesions (PPLs). However, the efficacy and safety of this procedure for the diagnosis of PPLs in patients with COPD remain poorly understood.
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