Massive endobronchial hemorrhage leading to Cardiac arrest during EBUS-TBNA: a case of successful resuscitation
Abstract Introduction : Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is commonly used for diagnosing mediastinal lymphadenopathy. Despite a low complication rate, severe hemorrhage can occur which is reported in this literature, particularly in hypervascular condition...
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| Language: | English |
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BMC
2025-01-01
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| Series: | BMC Pulmonary Medicine |
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| Online Access: | https://doi.org/10.1186/s12890-025-03503-5 |
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| author | Ping-Yang Hong Mao-Hong Huang Ling Cai Yi-Yuan Chen Yu-Xin Guo Xiao-Bin Zhang |
| author_facet | Ping-Yang Hong Mao-Hong Huang Ling Cai Yi-Yuan Chen Yu-Xin Guo Xiao-Bin Zhang |
| author_sort | Ping-Yang Hong |
| collection | DOAJ |
| description | Abstract Introduction : Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is commonly used for diagnosing mediastinal lymphadenopathy. Despite a low complication rate, severe hemorrhage can occur which is reported in this literature, particularly in hypervascular conditions like Castleman disease. Methods A 54-year-old male with idiopathic multicentric Castleman disease underwent EBUS-TBNA for mediastinal lymph node sampling. During the procedure, vascular invasion led to significant bleeding, requiring immediate interventions including suctioning and therapeutic bronchoscopy. Results The patient experienced massive hemorrhage, resulting in airway obstruction, oxygen desaturation, and cardiac arrest. Aggressive resuscitation successfully restored cardiac rhythm after 15 min. The patient was then stabilized and transferred to the intensive care unit for monitoring. Conclusions This case underscores the risk of severe hemorrhage in hypervascular conditions during EBUS-TBNA. Pre-procedural imaging, careful planning, and immediate availability of hemostatic measures are crucial to reducing complications and improving outcomes in high-risk patients. |
| format | Article |
| id | doaj-art-059433a0e5524b1bab07f2655506169a |
| institution | Kabale University |
| issn | 1471-2466 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pulmonary Medicine |
| spelling | doaj-art-059433a0e5524b1bab07f2655506169a2025-01-26T12:12:59ZengBMCBMC Pulmonary Medicine1471-24662025-01-012511610.1186/s12890-025-03503-5Massive endobronchial hemorrhage leading to Cardiac arrest during EBUS-TBNA: a case of successful resuscitationPing-Yang Hong0Mao-Hong Huang1Ling Cai2Yi-Yuan Chen3Yu-Xin Guo4Xiao-Bin Zhang5Department of Pulmonary and Critical Care Medicine, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen UniversityDepartment of Pulmonary and Critical Care Medicine, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen UniversityDepartment of Pulmonary and Critical Care Medicine, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen UniversityDepartment of Pulmonary and Critical Care Medicine, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen UniversitySchool of Medicine, Xiamen UniversityDepartment of Pulmonary and Critical Care Medicine, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen UniversityAbstract Introduction : Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is commonly used for diagnosing mediastinal lymphadenopathy. Despite a low complication rate, severe hemorrhage can occur which is reported in this literature, particularly in hypervascular conditions like Castleman disease. Methods A 54-year-old male with idiopathic multicentric Castleman disease underwent EBUS-TBNA for mediastinal lymph node sampling. During the procedure, vascular invasion led to significant bleeding, requiring immediate interventions including suctioning and therapeutic bronchoscopy. Results The patient experienced massive hemorrhage, resulting in airway obstruction, oxygen desaturation, and cardiac arrest. Aggressive resuscitation successfully restored cardiac rhythm after 15 min. The patient was then stabilized and transferred to the intensive care unit for monitoring. Conclusions This case underscores the risk of severe hemorrhage in hypervascular conditions during EBUS-TBNA. Pre-procedural imaging, careful planning, and immediate availability of hemostatic measures are crucial to reducing complications and improving outcomes in high-risk patients.https://doi.org/10.1186/s12890-025-03503-5Castleman diseaseEBUS-TBNAAirway hemorrhageCase reportCardiac arrest |
| spellingShingle | Ping-Yang Hong Mao-Hong Huang Ling Cai Yi-Yuan Chen Yu-Xin Guo Xiao-Bin Zhang Massive endobronchial hemorrhage leading to Cardiac arrest during EBUS-TBNA: a case of successful resuscitation BMC Pulmonary Medicine Castleman disease EBUS-TBNA Airway hemorrhage Case report Cardiac arrest |
| title | Massive endobronchial hemorrhage leading to Cardiac arrest during EBUS-TBNA: a case of successful resuscitation |
| title_full | Massive endobronchial hemorrhage leading to Cardiac arrest during EBUS-TBNA: a case of successful resuscitation |
| title_fullStr | Massive endobronchial hemorrhage leading to Cardiac arrest during EBUS-TBNA: a case of successful resuscitation |
| title_full_unstemmed | Massive endobronchial hemorrhage leading to Cardiac arrest during EBUS-TBNA: a case of successful resuscitation |
| title_short | Massive endobronchial hemorrhage leading to Cardiac arrest during EBUS-TBNA: a case of successful resuscitation |
| title_sort | massive endobronchial hemorrhage leading to cardiac arrest during ebus tbna a case of successful resuscitation |
| topic | Castleman disease EBUS-TBNA Airway hemorrhage Case report Cardiac arrest |
| url | https://doi.org/10.1186/s12890-025-03503-5 |
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