{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T16:05:55Z","timestamp":1648569955632},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die elekromagnetische Navigationsbronchoskopie ist eine sehr hilfreiche Untersuchung zur Abkl\u00e4rung pulmonaler Rundherde. Vorteile sind die niedrige Komplikationsrate 3\n          10, die M\u00f6glichkeit von Punktionen an mehreren Bereichen der Lunge w\u00e4hrend einer Untersuchung in Vollnarkose und die fehlende Strahlenbelastung. Im Falle einer Best\u00e4tigung von Malignit\u00e4t sind RH h\u00e4ufig Krebserkrankungen im Fr\u00fchstadium und kurativ behandelbar, im Falle von Benignit\u00e4t nicht selten infektiologische therapiebed\u00fcrftige Erkrankungen bei Patienten mit strukturellen Lungenver\u00e4nderungen. Das ENB-Verfahren kann bei vorhandener Erfahrung und routinem\u00e4\u00dfigem Einsatz zur erfolgreichen Diagnose von peripheren L\u00e4sionen (mindestens ab 1,5\u200acm Gr\u00f6\u00dfe) in etwa 75\u200a% der F\u00e4lle beitragen. Wegen Zunahme von CT-Thoraxuntersuchungen und der \u00e4lter werdenden Bev\u00f6lkerung nimmt die Abkl\u00e4rung von Patienten mit Lungenrundherden einen wachsenden Stellenwert in Lungenkliniken ein. Die ENB sollte sich deswegen neben der heute unverzichtbaren endobronchialen Ultraschalluntersuchung (EBUS) zu einem routinem\u00e4\u00dfig durchgef\u00fchrten Untersuchungsverfahren in der interventionellen Pneumologie entwickeln. Bedauerlicherweise ist die ENB noch nicht im DRG-System kostenrelevant abgebildet.<\/jats:p>","DOI":"10.1055\/a-1641-4878","type":"journal-article","created":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T00:03:00Z","timestamp":1638489780000},"page":"217-224","source":"Crossref","is-referenced-by-count":0,"title":["Stellenwert der elektromagnetischen Navigationsbronchoskopie bei der Abkl\u00e4rung pulmonaler Rundherde"],"prefix":"10.1055","volume":"76","author":[{"given":"Bj\u00f6rn","family":"Schwick","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Pneumologie, Luisenhospital Aachen, Aachen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Miguel","family":"Sodi Luna","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Pneumologie, Luisenhospital Aachen, Aachen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beate","family":"Tonder","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Pneumologie, Luisenhospital Aachen, Aachen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,12,2]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1148\/radiol.2017161659","article-title":"Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images: From the Fleischner Society 2017","volume":"284","author":"H MacMahon","year":"2017","journal-title":"Radiology"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1016\/j.athoracsur.2005.06.066","article-title":"Morbidity and mortality of major pulmonary resections in patients with early-stage lung cancer initial results of the randomized, prospective ACOSOG Z0030 trial","volume":"81","author":"M S Allen","year":"2006","journal-title":"Ann Thorac Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1164\/rccm.201507-1332OC","article-title":"Diagnostic Yield and Complications of Bronchoscopy for Peripheral Lung Lesions. 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