A Case of Real-Time Endobronchial Ultrasonography-Guided Bronchial Needle Aspiration Using a Double-Channel Flexible Bronchoscope

Abstract
A 72-year-old man with atelectasis in the right lower lobe of the lung underwent endobronchial ultrasonography (EBUS)-guided bronchial needle aspiration (BNA) because a routine bronchoscopy failed to confirm a diagnosis. The bronchoscope used has a double-channel with a 2.0-mm channel for the BNA catheter system and a 2.8-mm channel for the EBUS transducer system. A hyperechoic spot with an acoustic shadow was generated by EBUS as the needle penetrated the tumor. The histologic specimen obtained from EBUS-guided BNA with one penetration confirmed squamous cell carcinoma. BNA under real-time EBUS guidance could be performed and was simple to perform with the double-channel flexible bronchoscope.