Do you have pathology on site to evaluate the sample and determine if you have adequate tissue?

Tips for Lung Biopsy Success with Dr. Venkatesh (Kavi) Krishnasamy

Lesson 1

How do multidisciplinary tumor boards impact lung biopsy referrals and oncologic care in academic vs. private practices?

Lesson 2

Is it beneficial to have pre-biopsy discussions with patients to improve their experience and outcomes?

Lesson 3

What do you consider a complex lung biopsy?

Lesson 4

How do you manage anticoagulation and utilize CT fluoroscopy for efficiency and safety in lung biopsy procedures?

Lesson 5

How can light sedation and local anesthetics improve patient comfort and outcomes during lung biopsies?

Lesson 6

What are your preferred needle sizes, tools, and techniques for lung biopsies?

Lesson 7

How does having a cytopathologist on-site influence lesion sampling and verification?

Lesson 8

How do you handle pneumothorax risk during biopsies, and what are your thoughts on blood patches versus plugs?

Lesson 9

What are the challenges and ease of deployment with plugs in order to prevent pneumothorax?

Lesson 10

What are the strategies used for pneumothorax detection and management post-procedure?

Challenging Case Review with Dr. Venkatesh (Kavi) Krishnasamy

Lesson 11

Case Discussion: Tips for Lung Biopsy Success

Percutaneous Lung Biopsies: The Basics with Dr. Fred Lee

Lesson 12

How do you approach a lung biopsy?

Lesson 13

How do you administer Lidocaine effectively for lung biopsies?

Lesson 14

Do you have pathology or cytotechnology in the room for assessment of adequacy?

Lesson 15

Can you talk a little bit about how CT fluoro is used?

Lesson 16

What is the advantage of having a CT scanner that can tilt the gantry?

Lesson 17

How do you handle very small lesions when there aren't a lot of options?

Lesson 18

What do you do for post biopsy follow up?

Lesson 19

What are the challenges of trying to set a standard across a wide breadth of practitioners?

Percutaneous Lung Biopsies: Pleural & Parenchymal Blood Patching with Dr. Fred Lee

Lesson 20

Describe the types of blood patches and use cases

Lesson 21

Describe your technique for parenchymal blood patches

Lesson 22

Can you describe the slightly different pleural blood patch?

Lesson 23

Please describe your technique for the pleural blood patch

Lesson 24

Can you elaborate on your technique for pleural blood patches?

Lesson 25

How much blood are you using for pleural patches?

Lesson 26

When are your blood patches typically being done - during or after biopsies?

Lesson 27

What do you do in the case of a delayed pneumothorax?

Lesson 28

Do you think chest tube placements have decreased since you've started using blood patches?

Lesson 29

Are there any downsides to a parenchymal blood patch?

Minimizing Complications for Lung Biopsies with Dr. Robert Suh

Lesson 30

Tell us about how these patients are presenting to your practice

Lesson 31

What does your workup look like and how are your patients sedated?

Lesson 32

Tell us about how you numb the parietal pleura

Lesson 33

Do you have pathology on site to evaluate the sample and determine if you have adequate tissue?

Lesson 34

How do you approach patients with emphysema changes?

Lesson 35

Do you replace the stylet between passes and do you image between passes?

Lesson 36

How many cores do you take typically?

Lesson 37

What do you do to prevent pneumothorax after you’re done with the biopsy?

Lesson 38

Tell us the ways you use the hydrogel plug to prevent pneumothorax

Lesson 39

Is the BioSentry hydrogel plug easy to use?

Lesson 40

Which pneumothoraces are getting watched and which are getting intervened on?