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Point/Counterpoint Editorials |

Rebuttal From Drs Wahidi and YasufukuRebuttal From Drs Wahidi and Yasufuku

Momen M. Wahidi, MD, MBA, FCCP; Kazuhiro Yasufuku, MD, PhD, FCCP
Author and Funding Information

From the Department of Medicine (Dr Wahidi), Division of Pulmonary, Allergy and Critical Care Medicine, Duke University Medical Center; and Department of Surgery (Dr Yasufuku), Division of Thoracic Surgery, University of Toronto.

Correspondence to: Momen M. Wahidi, MD, MBA, FCCP, Department of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine, Duke University Medical Center, Box 3683, Durham, NC 27710; e-mail: momen.wahidi@duke.edu


Financial/nonfinancial disclosures: The authors have reported to CHEST the following conflicts of interest: Dr Wahidi has consulted for and received educational grants from Olympus Corporation and Pentax Ricoh Imaging Co, Ltd. Dr Yasufuku has consulted for and received educational grants from Olympus Corporation.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(3):737-738. doi:10.1378/chest.13-0703
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Extract

We read with great interest and humility the comments by Drs Huang, Browning, and Wang1 about conventional transbronchial needle aspiration (C-TBNA). If we were patients in the waiting room of a bronchoscopy suite and found out that Drs Huang, Browning, and Wang were about to perform our tranbronchial needle aspiration (TBNA), we would be ecstatic and want no “extra” endobronchial ultrasound (EBUS) scope to traverse our airways. However, Drs Huang, Browning, and Wang are a rarity in the world of TBNA and, per their comments, “the operator’s ability and experience are among the most important factors influencing TBNA sensitivity,” spanning a wide range of 39% to 78%”.1 As we pointed out in our argument, many chest physicians have tried to emulate the skills of Drs Huang, Browning, and Wang but have faltered. EBUS-guided TBNA (EBUS-TBNA) has proven easier to learn and to execute with high diagnostic yields from centers small and large, private and academic, from China to Egypt, and not just in the hands of a few skilled physicians.2-5

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