Transbronchial Cryobiopsies in Lung Allograft Recipients for Surveillance Purposes: Initial Results

Shehab Mohamed, Paolo Mendogni, Davide Tosi, Rosaria Carrinola, Alessandro Palleschi, Ilaria Righi, Valentina Vaira, Stefano Ferrero, Elisa Daffrè, Gianluca Bonitta, Cristina Diotti, Sara Pieropan, Mario Nosotti, Lorenzo Rosso

Research output: Contribution to journalArticlepeer-review

Abstract

Transbronchial biopsy (TBB) using standard forceps is the main procedure to establish the presence of lung allograft rejection (AR) after lung transplantation. Few studies report the use of the transbronchial cryobiopsy (TCB) as a scheduled procedure for surveillance purposes in lung allograft, despite this the technique yields larger biopsies. We aimed to analyze the diagnostic yield and potential complications of TCB compared with conventional forceps biopsy for acute rejection surveillance in lung transplantation. In our center, TCBs are performed to monitor lung allografts at 3, 6, and 12 months after transplantation. From March 2018 to September 2019 TCBs were performed in 54 lung transplanted patients for surveillance purposes. Clinical and functional data, complications, and histologic results were collected. We analyzed through a retrospective study our first 75 cases of cryobiopsies for surveillance purposes in lung allograft recipients. The diagnostic rate of AR using TCB was 100% compared with 83% using conventional TBB. Also, diagnostic rate of airway inflammation and chronic rejection was 17% and 21% higher, respectively, for TCB compared with TBB. The overall major complication rate was 9%: 1 pneumothorax case required chest tube drainage and 6 moderate bleedings. Bleeding rate in the scheduled TCB group (8%) seems to be higher if compared with scheduled TBB group (1%). TCB seems to be safe and effective for diagnosis of lung AR compared with transbronchial conventional forceps biopsy.

Original languageEnglish
Pages (from-to)1601-1604
JournalTransplantation Proceedings
Volume52
Issue number5
DOIs
Publication statusPublished - 2020

ASJC Scopus subject areas

  • Surgery
  • Transplantation

Fingerprint Dive into the research topics of 'Transbronchial Cryobiopsies in Lung Allograft Recipients for Surveillance Purposes: Initial Results'. Together they form a unique fingerprint.

Cite this