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Transpulmonary Artery Needle Aspiration of Hilar Masses With Endobronchial Ultrasound: A Necessary Evil

Boujaoude, Ziad MD; Pratter, Melvin MD; Abouzgheib, Wissam MD

Journal of Bronchology & Interventional Pulmonology: October 2013 - Volume 20 - Issue 4 - p 349–351
doi: 10.1097/LBR.0000000000000011
Brief Reports

The safety with regard to bleeding complications of endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) of hilar and mediastinal lymphadenopathy has been well established. The real-time visualization of targeted and surrounding structures allows the operator to avoid puncturing even small vessels. However, on occasions, the only way to reach the target is by traversing vessels. We report 2 cases of right hilar masses that were successfully diagnosed with EBUS-TBNA performed by traversing the pulmonary artery without any complications. We suggest that transpulmonary artery needle aspiration can be safely conducted but should be performed only by experienced operators and should be reserved as a last resort for making a diagnosis.

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Cooper University Hospital, Camden, NJ

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Disclosure: There is no conflict of interest or other disclosures.

Reprints: Ziad Boujaoude, MD, Cooper University Hospital, 3 Cooper plaza, Camden, NJ 08103 (e-mail:

Received March 12, 2013

Accepted August 26, 2013

© 2013 by Lippincott Williams & Wilkins.