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A randomized trial evaluating the effect of 10 vs 20 revolutions inside the lymph node on the diagnostic yield of EBUS-TBNA in subjects with sarcoidosis

Respiration Jul 27, 2018

Dhooria S, et al. - Researchers compared the yield of different numbers of needle revolutions (10 vs 20) during endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (TBNA) in sarcoidosis. Included subjects were consecutive individuals with a clinicoradiological suspicion of sarcoidosis. These subjects randomly 1: 1 underwent EBUS-TBNA with either 10 (group 1) or 20 revolutions (group 2). The diagnostic yield and adequacy of aspirates were assessed as the primary and secondary outcomes, respectively. Procedure duration, gross blood contamination of the aspirates, and safety of the procedure were also taken into account. They found that performing EBUS-TBNA with 10 or 20 revolutions in subjects with sarcoidosis did not provide different diagnostic yield and specimen adequacy.
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