Feasibility and safety of transbronchial lung cryobiopsy and mediastinal lymph node cryobiopsy: Experience from a resource-limited African setting

<b>What the study adds.</b> Although transbronchial lung cryobiopsy (TBLC) is widely accessible in resource-rich settings such as Europe and the USA, there are no data from resource-limited African settings. Endobronchial ultrasound-guided transbronchial mediastinal lymph node cryobiopsy (EBUS-TMC) is a newer technique for which there are limited data. We provide feasibility and implementation data from an African setting.<b>Implications of the findings.</b> We provide useful programmatic implementational data for resource-limited African settings and show that implementation of these techniques with same-day discharge is feasible in a setting where there is limited access to overnight beds and anaesthetic support. Important implementational lessons learned that will facilitate initiation of a new TLBC/EBUS-TMC service are outlined.

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Publication Details

Journal
African Journal of Thoracic and Critical Care Medicine
Published
2025-03-28
DOI
https://doi.org/10.7196/ajtccm.2025.v31i1.2448
Primary Topic
Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
Type
article
Field-Weighted Citation Impact
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article

Feasibility and safety of transbronchial lung cryobiopsy and mediastinal lymph node cryobiopsy: Experience from a resource-limited African setting

Aliasgar Esmail, S Eknewir, Ross Hofmeyr, Marwa SaedAli Emhemed et al.
African Journal of Thoracic and Critical Care Medicine
Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
article

Feasibility and safety of transbronchial lung cryobiopsy and mediastinal lymph node cryobiopsy: Experience from a resource-limited African setting

Aliasgar Esmail, S Eknewir, Ross Hofmeyr, Marwa SaedAli Emhemed, Naseema Vorajee, Keertan Dheda, Kurai Valerie Tsoka, Timothy C. Pennell, B Mbena, J Chokoe Maluleke, H Donson
article en

Abstract

<b>What the study adds.</b> Although transbronchial lung cryobiopsy (TBLC) is widely accessible in resource-rich settings such as Europe and the USA, there are no data from resource-limited African settings. Endobronchial ultrasound-guided transbronchial mediastinal lymph node cryobiopsy (EBUS-TMC) is a newer technique for which there are limited data. We provide feasibility and implementation data from an African setting.<b>Implications of the findings.</b> We provide useful programmatic implementational data for resource-limited African settings and show that implementation of these techniques with same-day discharge is feasible in a setting where there is limited access to overnight beds and anaesthetic support. Important implementational lessons learned that will facilitate initiation of a new TLBC/EBUS-TMC service are outlined.

African Journal of Thoracic and Critical Care MedicineVol. 31(1)
National Health Laboratory Service (ZA), University of Cape Town (ZA), Groote Schuur Hospital (ZA), London School of Hygiene & Tropical Medicine (GB), Center for Health and Gender Equity (US)
Openalex Percentile: Top 90%
Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
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