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Case Reports
. 2020 Nov 20;9(1):e00690.
doi: 10.1002/rcr2.690. eCollection 2021 Jan.

Guide sheath breakage during endobronchial ultrasonography

Takahiro Yanagihara  1 , Masatoshi Yamaoka  1 , Naoki Kawakami  2 , Takuya Onuki  1 , Masaharu Inagaki  1
Affiliations
Case Reports

Guide sheath breakage during endobronchial ultrasonography

Takahiro Yanagihara et al. Respirol Case Rep. .

Abstract

This report describes a case of guide sheath breakage during endobronchial ultrasonography. While steering the guide sheath in the direction of a peripheral lung nodule using a guiding device/curette, the radiopaque band (RB) attached to the head of the guide sheath dislodged and remained in the peripheral bronchus near the tumour. The band could not be removed endoscopically. As the tumour was diagnosed as a colon cancer metastasis, we performed a partial lung resection to remove the RB and nodule together four months after bronchoscopy.

Keywords: EBUS‐GS; endobronchial ultrasonography; guide sheath breakage; instrumental breakage.

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Figures

Figure 1
Figure 1
(A) Computed tomography revealing a solid mass of 39 mm in diameter in the right S10 region. (B) The head of the broken guide sheath was expanded (arrow). Traces of buckling were found near the head of the guide sheath (arrow heads).
Figure 2
Figure 2
(A) Radiography of the chest showed the radiopaque band(circle) proximal to the original tumour (arrow heads). (B) The radiopaque band was localized to the cranial verge of the original tumour (arrow head). (C) The radiopaque band was identified adjacent to the tumour in the incised specimen.
See this image and copyright information in PMC

References

    1. Hayama M, Izumo T, Matsumoto Y, et al. 2015. Complications with endobronchial ultrasound with a guide sheath for the diagnosis of peripheral pulmonary lesions. Respiration 90:129–135. - PubMed
    1. Kikuchi E, Yamazaki K, Sukoh N, et al. 2004. Endobronchial ultrasonography with guide‐sheath for peripheral pulmonary lesions. Eur. Respir. J. 24:533–537. - PubMed

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