Common questions

What are the two major complications of transbronchial biopsy?

What are the two major complications of transbronchial biopsy?

In 1974, Levin et al published their experience with transbronchial biopsy using flexible bronchoscopy. This approach has two main rare complications: pneumothorax and severe pulmonary bleeding. Advances in technology are leading to improved yields with fewer complications.

How is a transbronchial lung biopsy performed?

The transbronchial biopsy procedure is performed using a tiny forceps passed through a channel of the bronchoscope into your lungs. You will be instructed to breathe out slowly as the pulmonologist obtains a small sample of lung tissue.

How long does a bronchoscopy biopsy take?

The procedure usually takes about 30 minutes, but it might take longer, depending on what’s being done.

Can a biopsy be done during a bronchoscopy?

You will be able to breathe easily throughout the procedure. The doctor will be able to see into the airways, and can take samples of tissue for biopsy through the scope. You will be observed closely by the nurse during the test and afterwards, until you are fully awake and able to leave the area for discharge.

What are the risks of a bronchoscopy?

What are the risks of bronchoscopy?

  • Bleeding.
  • Infection.
  • Hole in the airway (bronchial perforation)
  • Irritation of the airways (bronchospasm)
  • Irritation of the vocal cords (laryngospasm)
  • Air in the space between the lung covering (pleural space) that causes the lung to collapse (pneumothorax)

What are the dangers of a bronchoscopy?

Very rare but potentially life-threatening risks of bronchoscopy include heart attack and lung collapse. A collapsed lung can be due to a pneumothorax, or increased pressure on your lung due to the escape of air into the lining of your lung.

How is a transbronchial biopsy of the lungs performed?

The transbronchial biopsy procedure is performed using a tiny forceps passed through a channel of the bronchoscope into your lungs. You will be instructed to breathe out slowly as the pulmonologist obtains a small sample of lung tissue.

What happens to your cough after a transbronchial biopsy?

After the test, your cough reflex will return in 1 to 2 hours, then normal eating and drinking is allowed. It is common after a transbronchial biopsy to cough up small amounts of blood-tinged sputum for a day. The pulmonologist will give you instructions on whom to contact should you cough up significant amounts of blood.

Can a pneumothorax occur during a lung biopsy?

Pneumothorax occurs in about 2% of transbronchial biopsies. Usually this is followed with repeated chest x-rays unless the pneumothorax is large enough to require insertion of a chest tube to decompress the lung. Whenever a biopsy is taken, there is a risk of hemorrhage.

What are the risks of a lung biopsy?

Whenever a biopsy is taken, there is a risk of hemorrhage. Some bleeding is common, and a technician or a nurse will monitor the amount of bleeding. Lung infection may occur after any bronchoscopy. There is also a small risk of: If general anesthesia is used, there is also some risk of: