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The Chef Has a Knife…Endoscopic Ultrasound-Guided Fine Needle Aspiration: Endoscopic Ultrasound-Guided Fine-Needle Aspiration by a Pulmonologist

Atul C. Mehta, MBBS, FCCP; Joseph Cicenia, MD, FCCP; Kazuhiro Yasufuku, MD, PhD, FCCP
Author and Funding Information

From the Respiratory Institute, Cleveland Clinic (Drs Mehta and Cicenia); and Interventional Thoracic Surgery Program, University of Toronto, and Division of Thoracic Surgery, Toronto General Hospital (Dr Yasufuku).

CORRESPONDENCE TO: Atul C. Mehta, MBBS, FCCP, Respiratory Institute, Cleveland Clinic, A-90, 9500 Euclid Ave, Cleveland, OH 44195; e-mail: Mehtaa1@ccf.org


FINANCIAL/NONFINANCIAL DISCLOSURES: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

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


Chest. 2015;147(5):1201-1203. doi:10.1378/chest.14-3045
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Extract

The advent of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has revolutionized how mediastinal lesions are accessed in a noninvasive fashion. Although earlier systems used a separate radial probe to guide the procedure, the introduction of the hybrid endobronchial ultrasound (EBUS) scope allows for real-time visualization of the transbronchial needle aspiration.1-4 In addition, given the anatomy of the esophagus as it traverses through the chest, the mediastinum can also be accessed with endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). Although EUS-FNA and EBUS-TBNA share several anatomic stations within the mediastinum, they each separately access areas unreachable by the other. Consequently, they have been put forward as complementary procedures; several studies report the superiority of the combination over the individual procedure.5

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