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临床试验/NCT04885595
NCT04885595已完成不适用

Bronchoscopic Diagnosis of Peripheral Lung Nodules Using Endobronchial Ultrasound Guided Forceps and Cryobiopsy. A Randomized-controlled Trial

University of Zurich2 个研究点 分布在 1 个国家目标入组 54 人开始时间: 2021年4月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
54
试验地点
2
主要终点
Diagnostic yield

研究概览

简要总结

Since the traditional radial endobronchial ultrasound guided biopsy technique of solitary pulmonary nodules using the forceps has several shortcomings, the purpose of this study is to investigate a new biopsy technique using the transbronchial cryobrobe

详细描述

This is a prospective randomized trial to assess diagnostic accuracy and safety of cryobiopsy using two different outer diameters. Included patients are 1:1 randomized to receive forceps biopsy following cryobiopsy with a 1.1mm or 1.7mm cryoprobe.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Diagnostic
盲法
Single (Outcomes Assessor)

入排标准

年龄范围
18 Years 至 90 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Solitary pulmonary nodule with indication of bronchoscopic diagnostic approach
  • Age between 18 and 90 years
  • Written informed consent after participant's information

排除标准

  • Age < 18 and > 90 years
  • Lacking ability to form an informed consent (including impaired judgement, communi-cation barriers)
  • Contraindication against bronchoscopy (e.g. co-morbidities)
  • INR > 2 or Thrombocytes < 50000
  • Double antiplatelet drugs (e.g. ASS and Clopidogrel) within 7 days before biopsy
  • Anticoagulation with NOAK within 48 hours before biopsy
  • Moderate or severe pulmonary hypertension (mPAP > 30 mmHg, RV/RA >30 mmHg)
  • Tumors suspicious of endobronchial growth

结局指标

主要结局

Diagnostic yield

时间窗: up to 1 month

The diagnostic yield of the malign lesions that we were able to visualise with EBUS in percentage

次要结局

  • Size of artifact-free alvoelar space in percentage(up to 1 month)
  • Radial endobronchial utrasound probe orientation (excentric, concentric, adjacent)(1 day)
  • Size of harvested tissue in millimeter(up to 1 month)
  • Size of malign tissue in millimeter(up to 1 month)
  • Occurrence of bleeding events(up to 1 month)
  • Occurence of pneumothorax(up to 1 month)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Carolin Steinack

Principal Investigator

University of Zurich

研究点 (2)

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