REVIEW  COMPETENCE IN INTERVENTIONAL PULMONOLOGY Free

Panminerva Medica 2019 September;61(3):249-79

DOI: 10.23736/S0031-0808.18.03570-X

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Competence in endosonographic techniques

Piero CANDOLI ¹ ✉, Loris CERON ², Rocco TRISOLINI ^{3, 4}, Micaela ROMAGNOLI ⁵, Lucio MICHIELETTO ¹, Simone SCARLATA ⁴, Thomas GALASSO ¹, Fausto LEONCINI ⁶, Valeria PASINI ⁷, Donatella DENNETTA ⁸, Francesca MARCHESANI ⁹, Mariagioconda ZOTTI ¹⁰, Lorenzo CORBETTA ¹¹

¹ UOC Pneumologia, Azienda Ospedali Riuniti Marche Nord, Pesaro, Pesaro-Urbino, Italy; ² UO Pneumologia, Ospedale dell’Angelo, Mestre, Venice, Italy; ³ UOC Pneumologia Interventistica Metropolitana, Policlinico Sant’Orsola e Ospedale Maggiore, Bologna, Italy; ⁴ UOC Pneumologia Interventistica, Policlinico Sant’Orsola-Malpighi, Bologna, Italy; ⁵ UOC di Gerontologia, Policlinico Universitario Campus Bio-Medico di Roma, Rome, Italy; ⁶ Malattie dell’Apparato Respiratorio AOU Careggi, Florence, Italy; ⁷ Interventional Pulmonary Program, University of Florence, Florence, Italy; ⁸ Azienda Ospedaliera Ospedali Riuniti Marche Nord, UO Pneumologia, Ospedale San Salvatore, Pesaro, Pesaro-Urbino, Italy; ⁹ OUC Pneumologia, Ospedale Macerata, ASUR, Macerata, Italy; ¹⁰ Ospedale Santa Maria Goretti UOSD Pneumologia, Latina, Italy; ¹¹ Università degli Studi di Firenze, SOD Pneumologia Interventistica AOUC, Florence, Italy

Endobronchial ultrasound (EBUS) has revolutionized the field of bronchoscopy because it allows to observe peribronchial structures and distal peripheral lung lesions. The use of EBUS was first described by Hurte and Hanrath in 1992. EBUS technology exists in two forms: radial and convex transducer probes. The radial EBUS probe has a 20-MHZ (12-30 MHz available) rotating transducer that can be inserted together with or without a guide sheath through the working channel (2.0-2.8 mm) of a standard flexible bronchoscope. The transducer rotates and produces a 360-degree circular image around the central position of the probe. There are two types of radial EBUS probes: “peripheral” probes, used to identify parenchymal lung lesions, and “central” probes, with balloon sheaths, used for the assessment of airway walls and peribronchial lymph nodes.

KEY WORDS: Bronchoscopy - Training - EBUS - Interventional Pulmonology