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Abstract: Poster Presentations |

Comparison of Fiberoptic Bronchoscopy (FOB) in Renal Failure (RF) and Non-Renal Failure Patients FREE TO VIEW

M Rahman, MD; V Lakshmi, MD; M Patel, MD; R Duncalf, MD; S Blum, PhD; G Diaz-Fuentes, MD, FCCP
Author and Funding Information

Bronx Lebanon Hospital, Bronx, NY


Chest


Chest. 2003;124(4_MeetingAbstracts):147S. doi:10.1378/chest.124.4_MeetingAbstracts.147S-a
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Abstract

INTRODUCTION:  FOB is a valuable tool in the evaluation and management of patients with pulmonary disorders. Bleeding complications tend to be increased in RF patients due to coagulation abnormalities and platelet dysfunction.

PURPOSE:  To evaluate the incidence of complications and the diagnostic yield of FOB in patients with and without RF.

METHODS:  A retrospective chart review of all the pts that had RF and underwent FOB from January 2000 to January 2001 was done; a control group of patients during that same time period with no RF was included. Patients with abnormal coagulation profile or liver function test were excluded.

RESULTS:  50 patients, 14 in the RF and 36 in the non-RF group were reviewed. Bleeding (>100cc) was seen only in pts where TBbx was done; the 2 pts in the RF group had a creat >4. Thirtheen pts in the RF and 28 in the non RF-group had FOB as part of a work up for lung infiltrate or mass; the diagnostic yield was 38% (5/13) and 46% (13/28) in the RF and non-RF group, respectively.CONCLUSIONS: Our study indicates there may be an increased tendency for significant bleeding from TBbx in pts with RF.CLINICAL IMPLICATIONS: Awareness of this risk is important as FOB plays a pivotal role in the evaluation of patients with lung disease. FOB with BAL seems to be a safe procedure in patients.with RF. Despite the small sample we still recommend the use of TBbx when the benefits outweigh the risks of the procedure.

Complications of FOB

FOBTransbronchial Biopsy(TBbx)/ Bronchoalveolar lavage(BAL)Transbronchial Biopsy (TBbx)/ Bronchoalveolar lavage (BAL) BleedingBAL aloneInspectionRF n=143/14 (21%)2/3 (66%)10/14 (71%)1/14 (8%)Non-RF n=3615/36 (42%)2/15 (13%)12/36 (34%)9/36 (25%)

DISCLOSURE:  G. Diaz-Fuentes, None.

Wednesday, October 29, 2003

12:30 PM - 2:00 PM


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