Safety of Robotic‐Assisted Bronchoscopy for Pulmonary Lesions in Patients With Pulmonary Hypertension on Vasodilator Therapy: A Single‐Centre Experience
ABSTRACT Lung biopsy in patients with pulmonary arterial hypertension (PH) poses a diagnostic challenge due to potential increased procedure‐related risks. This case series describes a single institution's experience using shape‐sensing robotic‐assisted bronchoscopy (ssRAB) with multi‐modality...
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| Format: | Article |
| Language: | English |
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Wiley
2025-05-01
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| Series: | Respirology Case Reports |
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| Online Access: | https://doi.org/10.1002/rcr2.70205 |
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| author | Brandon Jakubowski Ashley Yager Kristine Madsen Audra Schwalk Trushil Shah David Pham Kim Styrvoky |
| author_facet | Brandon Jakubowski Ashley Yager Kristine Madsen Audra Schwalk Trushil Shah David Pham Kim Styrvoky |
| author_sort | Brandon Jakubowski |
| collection | DOAJ |
| description | ABSTRACT Lung biopsy in patients with pulmonary arterial hypertension (PH) poses a diagnostic challenge due to potential increased procedure‐related risks. This case series describes a single institution's experience using shape‐sensing robotic‐assisted bronchoscopy (ssRAB) with multi‐modality imaging to biopsy eight pulmonary lesions in eight patients with haemodynamically confirmed PH receiving pulmonary vasodilator therapy. A specific diagnosis was obtained for seven pulmonary lesions. No complications, including pneumothorax, bleeding, respiratory failure or escalation of care, were observed, and all patients were safely discharged on the day of the procedure. This study highlights that ssRAB, when conducted with advanced imaging techniques and supported by a multidisciplinary team, appears to be a safe and effective diagnostic approach for PH patients on pulmonary vasodilator therapy when evaluating suspicious lung lesions. Patient selection should be individualized, and procedures should be performed at specialized centres equipped with expertise in the peri‐procedural management of PH as well as complex bronchoscopy. |
| format | Article |
| id | doaj-art-c2a5b591cf404925b5541bfb6e5c4fbd |
| institution | DOAJ |
| issn | 2051-3380 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj-art-c2a5b591cf404925b5541bfb6e5c4fbd2025-08-20T03:05:22ZengWileyRespirology Case Reports2051-33802025-05-01135n/an/a10.1002/rcr2.70205Safety of Robotic‐Assisted Bronchoscopy for Pulmonary Lesions in Patients With Pulmonary Hypertension on Vasodilator Therapy: A Single‐Centre ExperienceBrandon Jakubowski0Ashley Yager1Kristine Madsen2Audra Schwalk3Trushil Shah4David Pham5Kim Styrvoky6Division of Pulmonary and Critical Care Medicine, Department of Medicine University of Texas Southwestern Medical Center Dallas Texas USADepartment of Anesthesiology and Pain Management University of Texas Southwestern Medical Center Dallas Texas USADivision of Pulmonary and Critical Care Medicine, Department of Medicine Baylor College of Medicine Houston Texas USADivision of Pulmonary and Critical Care Medicine, Department of Medicine University of Texas Southwestern Medical Center Dallas Texas USADivision of Pulmonary and Critical Care Medicine, Department of Medicine University of Texas Southwestern Medical Center Dallas Texas USADivision of Pulmonary and Critical Care Medicine, Department of Medicine University of Texas Southwestern Medical Center Dallas Texas USADivision of Pulmonary and Critical Care Medicine, Department of Medicine University of Texas Southwestern Medical Center Dallas Texas USAABSTRACT Lung biopsy in patients with pulmonary arterial hypertension (PH) poses a diagnostic challenge due to potential increased procedure‐related risks. This case series describes a single institution's experience using shape‐sensing robotic‐assisted bronchoscopy (ssRAB) with multi‐modality imaging to biopsy eight pulmonary lesions in eight patients with haemodynamically confirmed PH receiving pulmonary vasodilator therapy. A specific diagnosis was obtained for seven pulmonary lesions. No complications, including pneumothorax, bleeding, respiratory failure or escalation of care, were observed, and all patients were safely discharged on the day of the procedure. This study highlights that ssRAB, when conducted with advanced imaging techniques and supported by a multidisciplinary team, appears to be a safe and effective diagnostic approach for PH patients on pulmonary vasodilator therapy when evaluating suspicious lung lesions. Patient selection should be individualized, and procedures should be performed at specialized centres equipped with expertise in the peri‐procedural management of PH as well as complex bronchoscopy.https://doi.org/10.1002/rcr2.70205cone beam CTlung biopsylung lesionpulmonary arterial hypertensionrobotic‐assisted bronchoscopy |
| spellingShingle | Brandon Jakubowski Ashley Yager Kristine Madsen Audra Schwalk Trushil Shah David Pham Kim Styrvoky Safety of Robotic‐Assisted Bronchoscopy for Pulmonary Lesions in Patients With Pulmonary Hypertension on Vasodilator Therapy: A Single‐Centre Experience Respirology Case Reports cone beam CT lung biopsy lung lesion pulmonary arterial hypertension robotic‐assisted bronchoscopy |
| title | Safety of Robotic‐Assisted Bronchoscopy for Pulmonary Lesions in Patients With Pulmonary Hypertension on Vasodilator Therapy: A Single‐Centre Experience |
| title_full | Safety of Robotic‐Assisted Bronchoscopy for Pulmonary Lesions in Patients With Pulmonary Hypertension on Vasodilator Therapy: A Single‐Centre Experience |
| title_fullStr | Safety of Robotic‐Assisted Bronchoscopy for Pulmonary Lesions in Patients With Pulmonary Hypertension on Vasodilator Therapy: A Single‐Centre Experience |
| title_full_unstemmed | Safety of Robotic‐Assisted Bronchoscopy for Pulmonary Lesions in Patients With Pulmonary Hypertension on Vasodilator Therapy: A Single‐Centre Experience |
| title_short | Safety of Robotic‐Assisted Bronchoscopy for Pulmonary Lesions in Patients With Pulmonary Hypertension on Vasodilator Therapy: A Single‐Centre Experience |
| title_sort | safety of robotic assisted bronchoscopy for pulmonary lesions in patients with pulmonary hypertension on vasodilator therapy a single centre experience |
| topic | cone beam CT lung biopsy lung lesion pulmonary arterial hypertension robotic‐assisted bronchoscopy |
| url | https://doi.org/10.1002/rcr2.70205 |
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