Pulmonary Procedures |

Efficacy and Safety of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA) in Elderly (>70 Years Old) Patients FREE TO VIEW

Michael Kuchuk; Matthew Koslow; Alona Matveychuk; Alex Guber
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Meir Medical Center, Kfar-Sava, Israel

Chest. 2015;148(4_MeetingAbstracts):819A. doi:10.1378/chest.2279679
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SESSION TITLE: Interventional Pulmonology Posters II

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 28, 2015 at 01:30 PM - 02:30 PM

PURPOSE: Linear endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has proven useful for evaluation meditational masses and lymph nodes (LN). The aim of this study was to evaluate the efficacy and safety of EBUS-TBNA performed among elderly patients (pts) population (>70 years old) patients

METHODS: Charts were reviewed for all pts referred to our institution for EBUS procedure between January 2012 and June 2014. Collected data included age and gender of pts, indication for EBUS, final diagnosis, complication rate, time to discharge after the procedure. All pts underwent sedation with midazolam and fentanyl.

RESULTS: Between 2012 and 2014 years, 127 patients underwent EBUS-TBNA procedure in our department. 24% (30 pts) of them were 71 y.o. and older. Mean age of these pts was 81.5 (range 71-92) and 60% of them (18 pts) were men. 80% (24 pts) underwent EBUS-TBNA as out-patient and were discharged at the same day of the procedure. Indication for EBUS-TBNA were investigation of mediastinal LN 53% (16 pts), suspicion for lung cancer in pts with lung mass and mediastinal lymphadenopathy 23% (7 pts), staging for previously diagnosed NSCLC 16% (5pts) and one pts underwent EBUS for biopsy of enlarged thyroid gland coming down into mediastinal space and in another case EBUS was done for pt with diagnosed stage IV NSCLC in order obtain tissue for receptors testing. Most common EBUS-TBNA obtained diagnosis was Primary Lung Cancer 43.3%, followed by hematologic malignancies (Lymphoma/CLL) 13.3%. Reactive LN was found in 33% of biopsies. In 93.3% (28 pts) diagnosis by EBUS biopsy was coincided with final diagnosis. Two pts were needed to undergo mediastinoscopy after EBUS-TBNA to complete their final diagnosis (pt with diagnosed lymphoma and pt with non diagnostic biopsy). The most common site for biopsy was subcarinal (63%) and right paratracheal (43%) lymph nodes. No serious complications had been observed during the EBUS-TBNA, 3 pts were needed sedation with Propofol.

CONCLUSIONS: EBUS-TBNA procedure is as effective and safe for older pts as for all general population.

CLINICAL IMPLICATIONS: EBUS-TBNA procedure should be not be precluded in the elderly due to age alone.

DISCLOSURE: The following authors have nothing to disclose: Michael Kuchuk, Matthew Koslow, Alona Matveychuk, Alex Guber

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