Interstitial Lung Disease
Conditions
Brief summary
Evaluating the diagnostic value of transbronchial lung cryobiopsy (TBLC) as well as its procedural feasibility and safety in a prospective series of 20 patients with diffuse interstitial lung diseases (DILD) who are referred for invasive histopathological diagnostics
Detailed description
Before one is able to state that TBLC is a technique that is an alternative for VATS biopsy, the diagnostic value of TBLC should be assessed and the value of the histopathological sampling should be compared with what is achieved by surgical lung biopsy. For this purpose direct comparison between VATS biopsy and TBLC is unavoidable. By including TBLC in the work-up of patients with DILD in which histopathological assessment is indicated (as proposed by MDD), we want to assess 3 major points of concern. Agreement for the histopathological diagnosis between VATS biopsy and TBLC. Value of TBLC in the specific diagnosis in ILD.
Interventions
bronchoscopic sampling
Sponsors
Study design
Eligibility
Inclusion criteria
* \- Case of DILD presented at the MDD * Referral for VATS biopsy as advised by MDD. * Informed consent available * Age \> 18 * FVC \> 50%pred * DLCO \> 40%pred * PaO2 \> 65 mmHg, pCO2 \< 45 mmHg * No
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| histopathological agreement | 2 years | Histopathological diagnostic intra-observer agreement between Video-assisted thoracosopic surgery biopsy and TBLC (kappa value) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| procedural safety : bleeding | periprocedural 1 hour | incidence of bleeding (number of case) |
| procedural safety : bleeding (2) | periprocedural 1 hour | severity of bleeding (grade 1-2-3) |
| procedural safety : bleeding (3) | periprocedural 1 hour | duration of bleeding (seconds) |
| procedural safety : penumothorax | periprocedural 1 hour | pneumothorax rate (number of cases) |
Countries
Belgium