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array:22 [ "pii" => "S0300289624002357" "issn" => "03002896" "doi" => "10.1016/j.arbres.2024.06.012" "estado" => "S200" "fechaPublicacion" => "2024-07-16" "aid" => "3607" "copyright" => "SEPAR" "copyrightAnyo" => "2024" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "crp" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:17 [ "pii" => "S0300289624002266" "issn" => "03002896" "doi" => "10.1016/j.arbres.2024.06.007" "estado" => "S200" "fechaPublicacion" => "2024-07-19" "aid" => "3602" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Investigation of Inspiratory Muscle Training Efficiency Before Bronchoscopic Lung Volume Reduction: A Randomized Controlled Trial" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:3 [ 0 => "en" 1 => "en" 2 => "en" ] "contieneResumen" => array:1 [ "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 1 "multimedia" => array:5 [ "identificador" => "fig0010" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => false "mostrarDisplay" => true "figura" => array:1 [ 0 => array:4 [ "imagen" => "fx1.jpeg" "Alto" => 991 "Ancho" => 1333 "Tamanyo" => 158463 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Esra Pehlivan, Erdoğan Çetinkaya, Zeynep Betül Özcan, Fulya Senem Karaahmetoğlu, Mustafa Çörtük, Amine Ataç, Halit Çınarka" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Esra" "apellidos" => "Pehlivan" ] 1 => array:2 [ "nombre" => "Erdoğan" "apellidos" => "Çetinkaya" ] 2 => array:2 [ "nombre" => "Zeynep Betül" "apellidos" => "Özcan" ] 3 => array:2 [ "nombre" => "Fulya Senem" "apellidos" => "Karaahmetoğlu" ] 4 => array:2 [ "nombre" => "Mustafa" "apellidos" => "Çörtük" ] 5 => array:2 [ "nombre" => "Amine" "apellidos" => "Ataç" ] 6 => array:2 [ "nombre" => "Halit" "apellidos" => "Çınarka" ] ] ] ] "resumen" => array:2 [ 0 => array:3 [ "titulo" => "Graphical abstract" "clase" => "graphical" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><elsevierMultimedia ident="fig0010"></elsevierMultimedia></p></span>" ] 1 => array:3 [ "titulo" => "Highlights" "clase" => "author-highlights" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall"><ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">•</span><p id="par0005" class="elsevierStylePara elsevierViewall">Pre-bronchoscopic lung volume reduction (BLVR) pulmonary rehabilitation (PR) has a positive impact on patients’ clinic.</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">•</span><p id="par0010" class="elsevierStylePara elsevierViewall">Adding IMT to standard PR can lead to a greater increase in improvement in exercise capacity and spirometric parameters.</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">•</span><p id="par0015" class="elsevierStylePara elsevierViewall">Evaluating the effects of post-PR gains on patient clinic is necessary to make a decision regarding the BLVR procedure.</p></li></ul></p></span>" ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624002266?idApp=UINPBA00003Z" "url" => "/03002896/unassign/S0300289624002266/v1_202407190426/en/main.assets" ] "itemAnterior" => array:16 [ "pii" => "S0300289612000968" "issn" => "03002896" "doi" => "10.1016/j.arbres.2012.02.017" "estado" => "S200" "fechaPublicacion" => "2013-05-08" "aid" => "621" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "ret" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 348 "formatos" => array:2 [ "HTML" => 82 "PDF" => 266 ] ] "en" => array:8 [ "idiomaDefecto" => true "titulo" => "WITHDRAWN: Respiratory Muscle Assessment in Predicting Extubation Outcome in Patients With Stroke" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => "en" "contieneResumen" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Antonio A.M. Castro, Felipe Cortopassi, Russell Sabbag, Luis Torre-Bouscoulet, Claudia Kümpel, Elias Ferreira Porto" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Antonio A.M." "apellidos" => "Castro" ] 1 => array:2 [ "nombre" => "Felipe" "apellidos" => "Cortopassi" ] 2 => array:2 [ "nombre" => "Russell" "apellidos" => "Sabbag" ] 3 => array:2 [ "nombre" => "Luis" "apellidos" => "Torre-Bouscoulet" ] 4 => array:2 [ "nombre" => "Claudia" "apellidos" => "Kümpel" ] 5 => array:2 [ "nombre" => "Elias Ferreira" "apellidos" => "Porto" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289612000968?idApp=UINPBA00003Z" "url" => "/03002896/unassign/S0300289612000968/v2_201305131254/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Letter</span>" "titulo" => "<span class="elsevierStyleItalic">Mycobacterium branderi</span> Diagnosed by CryoEBUS. A New Tool for Infection Diagnosis?" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">To the Director</span>," "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Albert Rafecas Codern, Virginia Pajares Ruiz, Pere Serra Mitjà" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Albert" "apellidos" => "Rafecas Codern" ] 1 => array:2 [ "nombre" => "Virginia" "apellidos" => "Pajares Ruiz" ] 2 => array:4 [ "nombre" => "Pere" "apellidos" => "Serra Mitjà" "email" => array:1 [ 0 => "pserramitja@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospital de la Santa Creu i Sant Pau, Barcelona, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1019 "Ancho" => 1605 "Tamanyo" => 146422 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Subcarinal lymphadenopathy on PET/CT; (b) pulmonary nodule on PET/CT; (c) subcarinal lymphadenopathy on CT; (d) cryoEBUS in real-time.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is the technique of choice for the study of hilar and mediastinal lymph nodes, useful in the study of lung cancer as well as in benign processes.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> However, diagnosis difficulties have been reported even in benign pathologies.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> Cryobiopsy of lymph nodes (cryoEBUS), a recent and promising technique, improves the diagnostic yield of EBUS-TBNA up to 90%, with a good safety profile.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">2–4</span></a> Few cases of non-malignant disease as sarcoidosis or tuberculosis<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> have been described. We present a rare case of <span class="elsevierStyleItalic">Mycobacterium branderi</span> diagnosed by cryoEBUS.</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 57-year-old male ex-smoker, with human immunodeficiency virus (HIV) infection without active treatment by their own decision presented to a hospital because of weakness and weight loss. Blood culture and virus test were negatives and chest X-ray showed no apparent lesions. A cranial CT and lumbar puncture ruled out infection. A positron emission tomography/computed tomography (PET/CT) showed a hypermetabolic pulmonary nodule (14<span class="elsevierStyleHsp" style=""></span>mm, SUVmax 6.76) in left lower low (LLL) and enlarged mediastinal lymphadenopathies (subcarinal 25<span class="elsevierStyleHsp" style=""></span>mm, SUVmax 19.03) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). EBUS-TBNA (EB-1970UK, Linear-Array; Pentax Medical Company) was performed under general anaesthesia by an anaesthesiologist using intravenous midazolam, propofol and fentanyl. With a 22-gauge needle (ECHO-HD-22-EBUS-O, Cook Medical Company), we performed two punctures and obtained cytological samples and cell blocks, evaluated by rapid on-site evaluation (ROSE). Then procedure with 22-gauge histological needle (ECHO-HD-22-EBUS-O-C), and after two punctures, a cryoEBUS was performed in subcarinal region, introducing a 1.1<span class="elsevierStyleHsp" style=""></span>mm cryo-probe (Erbecryo 20402-401, Tubingen, Germany), obtaining three cryobiopsies (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The procedure was well tolerated and no complications were observed, nor 72<span class="elsevierStyleHsp" style=""></span>h later. Cytological studies showed lymphocytes without malignant cells from either the punctures or the cell block. The cultures did not show germs, and the polymerase chain reaction (PCR) and mycobacteria's culture were negatives. Finally, in cryoEBUS culture grows <span class="elsevierStyleItalic">M. branderi</span> and patient was referred to infectious unit for assessment.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">To the best of our knowledge, is the first case of atypical mycobacteria diagnosed by cryoEBUS. CryoEBUS is a new and safe procedure,<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">2–4</span></a> that could represent a promising technique in the study of intrathoracic lymphadenopathy.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> The overall diagnostic yield described is about 91.8% for cryoEBUS<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> and seems more sensitive in uncommon tumours and benign disorders.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The poor tissue representation of EBUS-TBNA samples might restrict the diagnostic yield for certain conditions such as lymphoproliferative and granulomatous disorders,<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> and cryobiopsy samples have demonstrated to be architecturally better preserved and bigger in size.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">2,4</span></a> In our case, EBUS-TBNA did not allow establishing the final diagnosis and definitive microbiological diagnosis was achieved by cryobiopsy. Diagnostic yield for EBUS-TBNA in the diagnosis of mycobacterial diseases such as tuberculosis is around 80%,<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> and cryoEBUS has been shown to significantly increase the efficacy to above 90%<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> but there are no references about non-tuberculous mycobacteria.</p><p id="par0025" class="elsevierStylePara elsevierViewall">In conclusion, cryoEBUS is a safe and feasible technique in expert units, that offer a high diagnostic yield and could be a new option for infection diagnosis, thereby improving the diagnostic strategy for non-malignant diseases. More clinical studies are needed.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0030" class="elsevierStylePara elsevierViewall">This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Authors’ Contributions</span><p id="par0035" class="elsevierStylePara elsevierViewall">All authors have contributed substantially to obtaining the results and preparation of the manuscript, according with ICMJE criteria.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of Interest</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare not to have any conflicts of interest that may be considered to influence directly or indirectly the content of the manuscript.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Artificial Intelligence Involvement</span><p id="par0045" class="elsevierStylePara elsevierViewall">Article was produced without the help of any artificial intelligence software or tool.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:5 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Authors’ Contributions" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of Interest" ] 3 => array:2 [ "identificador" => "sec0020" "titulo" => "Artificial Intelligence Involvement" ] 4 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1019 "Ancho" => 1605 "Tamanyo" => 146422 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Subcarinal lymphadenopathy on PET/CT; (b) pulmonary nodule on PET/CT; (c) subcarinal lymphadenopathy on CT; (d) cryoEBUS in real-time.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Technical aspects of endobronchial ultrasound-guided transbronchial needle aspiration: CHEST Guideline and Expert Panel Report" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.M. Wahidi" 1 => "F. Herth" 2 => "K. Yasufuku" 3 => "R.W. Shepherd" 4 => "L. Yarmus" 5 => "M. Chawla" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1378/chest.15-1216" "Revista" => array:7 [ "tituloSerie" => "Chest" "fecha" => "2016" "volumen" => "149" "numero" => "3" "paginaInicial" => "816" "paginaFinal" => "835" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26402427" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Is the diagnostic yield of mediastinal lymph node cryobiopsy (cryoEBUS) better for diagnosing mediastinal node involvement compared to endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)? A systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Botana-Rial" 1 => "I. Lojo-Rodríguez" 2 => "V. Leiro-Fernández" 3 => "C. Ramos-Hernández" 4 => "A. González-Montaos" 5 => "L. Pazos-Area" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rmed.2023.107389" "Revista" => array:5 [ "tituloSerie" => "Respir Med" "fecha" => "2023" "volumen" => "218" "paginaInicial" => "107389" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/37579981" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transbronchial mediastinal cryobiopsy in the diagnosis of mediastinal lesions: a randomised trial" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Zhang" 1 => "J.R. Guo" 2 => "Z.S. Huang" 3 => "W.L. Fu" 4 => "X.L. Wu" 5 => "N. Wu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1183/13993003.00055-2021" "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "2021" "volumen" => "58" "numero" => "6" "paginaInicial" => "2100055" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33958432" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transbronchial mediastinal cryobiopsy in the diagnosis of mediastinal lymph nodes: a case series – how to do it" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.A. Ariza-Prota" 1 => "J. Pérez-Pallarés" 2 => "A. Fernández-Fernández" 3 => "F. López-González" 4 => "J.A. Cascón" 5 => "L. García-Alfonso" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.arbres.2022.05.006" "Revista" => array:7 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2022" "volumen" => "58" "numero" => "10" "paginaInicial" => "718" "paginaFinal" => "721" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/35697564" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endobronchial ultrasound-guided transbronchial cryo-nodal biopsy: a novel approach for mediastinal lymph node sampling" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "H.K. Gonuguntla" 1 => "M. Shah" 2 => "N. Gupta" 3 => "S. Agrawal" 4 => "V. Poletti" 5 => "G.C. Nacheli" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/rcr2.808" "Revista" => array:4 [ "tituloSerie" => "Respirol Case Rep" "fecha" => "2021" "volumen" => "9" "numero" => "8" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/unassign/S0300289624002357/v1_202407160439/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/03002896/unassign/S0300289624002357/v1_202407160439/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624002357?idApp=UINPBA00003Z" ]
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