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Transbronchial biopsy in the management of pulmonary complications of hematopoietic stem cell transplantation.


ABSTRACT: The utility of transbronchial biopsy in the management of pulmonary complications following hematopoietic stem cell transplantation (HSCT) has shown variable results. Herein, we examine the largest case series of patients undergoing transbronchial biopsy following HSCT. We performed a retrospective analysis of 130 transbronchial biopsy cases performed in patients with pulmonary complications post HSCT. Logistic regression models were applied to examine diagnostic yield, odds of therapy change and complications. The most common histologic finding on transbronchial biopsy was a nonspecific interstitial pneumonitis (n=24 cases, 18%). Pathogens identified by transbronchial biopsy were rare, occurring in <5% of cases. A positive transbronchial biopsy significantly increased the odds of a subseq

SUBMITTER: O'Dwyer DN 

PROVIDER: S-EPMC5803310 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature