A new needle on the block: EchoTip ProCore endobronchial ultrasound needle

Figures & data

Figure 1 EchoTip ProCore needle, 25 gauge, showing needle tip and the reverse-beveled site.

Table 1 Mediastinal lymph node stations (IASLC Lymph Node Map 2009)

Superior mediastinal nodes
2: Upper paratracheal
3A: Prevascular
3P: Prevertebral
4: Lower paratracheal
Aortic nodes
5: Subaortic (aortopulmonary window)
6: Para-aortic
Inferior mediastinal nodes
7: Subcarinal
8: Paraesophageal
9: Pulmonary ligament
Hilar, lobar, (sub) segmental nodes
10: Hilar
11: Interlobar
12: Lobar
13: Segmental
14: Subsegmental

Notes: N1 nodes: 10, 11, 12, 13, 14; N2 nodes: 2, 4, 5, 6, 7, 8, 9; N3 nodes: contralateral mediastinal or contralateral hilar nodes or any scalene or supraclavicular nodes (station 1).

Abbreviation: IASLC, The International Association for the Study of Lung Cancer,

Table 2 Nodal station accessibility by procedures

EBUS-TBNA: 2R, 2L, 4R, 4L, 7, 10R, 10L, 11, 12
EUS-FNA: 4L, 5, 6, 7, 8, 9
Mediastinoscopy: 2R, 2L, 4R, 4L, 7
Chamberlain: 5, 6

Abbreviations: EBUS, endobronchial ultrasound; EUS, endoscopic ultrasound; FNA, fine-needle aspiration; TBNA, transbronchial needle aspiration.