Comparison of cyanoacrylate and hookwire for localizing small pulmonary nodules: A propensity-matched cohort study

Wang, Jian; Yao, Jun; Xu, Liping; Shan, Limei; Zhai, Rong; Gao, Libing; Liu, Liang; Yao, Fei

doi:10.1016/j.ijsu.2019.09.001

Cited by 10 publications

(12 citation statements)

References 21 publications

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“…Both solid and liquid materials, such as hookwires, 9‐14 lipiodol, 15 microcoils, 12,16,17 dye 17,18 and radiotracers 19 have been developed as localization markers. We summarized the literature on preoperative localization techniques with sample numbers >100 and other similar studies published within the last five years, 11,20‐25 and compared the results with ours (Table 4 ) . Although these methods have been applied widely in clinical practice and reported favorable results, they reveal some shortcomings.…”

Section: Discussionmentioning

confidence: 99%

A novel technique for preoperative localization of pulmonary nodules using a mixture of tissue adhesive and iohexol under computed tomography guidance: A 140 patient single‐center study

Zhang

Peng

et al. 2021

Thoracic Cancer

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Background The increase in the incidence of pulmonary nodules has made computed tomography (CT) screening a requirement for diagnosis and treatment. Small pulmonary nodule detection during video‐assisted thoracoscopic surgery (VATS) or thoracotomy is frequently challenging; however, accurate and efficient localization of nodules is critical for precise resection. Herein, we introduce and evaluate the feasibility and safety of a novel technique for preoperative pulmonary nodule localization. Methods From March 2018 to December 2019, 140 patients with 153 pulmonary nodules measuring <2 cm in diameter were enrolled in this study. Preoperative, CT‐guided localization was performed on each nodule with an injected mixture of tissue adhesive and iohexol. Patient and nodule characteristics, localization data, complications, surgical data, and pathological results were analyzed. Results All 153 nodules in 140 patients were successfully marked preoperatively and detected during surgery (n = 153/153). Mean nodule size was 8.7 ± 2.6 mm, and mean distance from nodule to pleura was 7.9 ± 8.2 mm. The mean procedural time was 8.7 ± 1.0 min. Nine patients (6.4%) underwent two simultaneous nodule localizations and two patients (1.4%) underwent three simultaneous nodule localizations. Pneumothorax (17/140, 12.1%), pain (6/140, 4.3%), and pungent odor (5/140, 3.6%) were the major complications. No patient required further treatment, and no allergic reactions or embolisms were observed. Conclusions Preoperative CT‐guided nodule localization using a mixture of tissue adhesive and iohexol is an efficient technique for localizing small and impalpable pulmonary lesions, including multiple pulmonary nodules. Our study demonstrates that this novel method is safe and straightforward to implement.

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Section: Discussionmentioning

confidence: 99%

A novel technique for preoperative localization of pulmonary nodules using a mixture of tissue adhesive and iohexol under computed tomography guidance: A 140 patient single‐center study

Zhang

Peng

et al. 2021

Thoracic Cancer

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“…Some areas of the lung were deemed difficult zones (24.9%) for POCTGL, which included traditional "danger zones" including the mediastinum (15.4%), diaphragm (10.5%), and structures in the path of the puncture, including scapula (5.2%), breast prosthesis (0.3%), and the structures associated with pleura comprising fissure (7.5%) and cross-lobe (3.4%). The median size of the pulmonary nodules receiving POCTGL was 5 (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19) mm. The median puncture angle was 19 0 .…”

Section: Demography and Performance Of The Preoperative Ct Guided Loc...mentioning

confidence: 99%

“…However, due to the small size of the nodules, preoperative localization methods are warranted and have rapidly emerged 4–9 . Percutaneous CT‐guided localization with a dye, hookwire, coils, or radioisotopes is the most popular adopted method 5,9–12 . Other approaches, including the navigator, three‐dimensional pulmonary reconstruction, and augmented fluoroscopic bronchoscopy, have also been implemented 8,13 …”

Section: Introductionmentioning

confidence: 99%

“…[4][5][6][7][8][9] Percutaneous CT-guided localization with a dye, hookwire, coils, or radioisotopes is the most popular adopted method. 5,[9][10][11][12] Other approaches, including the navigator, three-dimensional pulmonary reconstruction, and augmented fluoroscopic bronchoscopy, have also been implemented. 8,13 Of note, pneumothorax is one of the most common complications of CT-guided invasive lung procedures.…”

Section: Introductionmentioning

confidence: 99%

“…4 , 5 , 6 , 7 , 8 , 9 Percutaneous CT‐guided localization with a dye, hookwire, coils, or radioisotopes is the most popular adopted method. 5 , 9 , 10 , 11 , 12 Other approaches, including the navigator, three‐dimensional pulmonary reconstruction, and augmented fluoroscopic bronchoscopy, have also been implemented. 8 , 13 …”

Section: Introductionmentioning

confidence: 99%

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Puncture frequency predicts pneumothorax in preoperative computed tomography‐guided lung nodule localization for video‐assisted thoracoscopic surgery

Huang

Tsai

et al. 2022

Thoracic Cancer

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Background: Iatrogenic pneumothorax is the most frequent complication in preoperative CT-guided localization (POCTGL) of lung nodules. We aimed to determine the predictive factors of iatrogenic pneumothorax. Methods: We retrospectively analyzed data of consecutive POCTGL procedures in patients who received video-assisted thoracoscopic surgery (VATS) at our hospital between May 2015 and October 2019. All of our patients utilized laser angle guide assembly to aid in the localization procedures. Results: In 610 consecutive POCTGL procedures, 40 (6.6%) patients developed iatrogenic pneumothorax, and complications occurred in 8.5%. Univariate analyses revealed that puncture frequency, male gender, puncture depth, left decubitus position, and nodule near fissure were factors associated with pneumothorax, while multivariate analysis showed that only male gender (odds ratio 3.58, p = 0.012) and puncture frequency (odds ratio 2.39/time, p = 0.0004) determined development of pneumothorax. Further collective analysis on puncture frequency revealed that tumor in a difficult zone (1.33 AE 0.71 vs. 1.19 AE 0.45, p = 0.002), especially adjacent to the mediastinum (1.41 AE 0.75 vs. 1.21 AE 0.52, p = 0.002), angle difference of plan-to-practice (r = 0.209, p = < 0.001), depth to skin (r = 0.152, p < 0.001), and depth to pleura (r = 0.164, p < 0.001) were factors related to increased puncture frequency in univariate analyses. Only angle difference of plan-to-practice was associated in multivariate analysis (odds ratio: 1.158, p = 0.008). Conclusions: Puncture frequency was the key factor in the development of iatrogenic pneumothorax from POCTGL. Other associated factors, especially angle difference, may have affected the puncture frequency and subsequently have some influence on the incidence of iatrogenic pneumothorax. K E Y W O R D S iatrogenic pneumothorax, preoperative CT guided localization, pulmonary nodule, video-assisted thoracoscopic surgery Jing-Yang Huang and Stella Chin-Shaw Tsai contributed equally.

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Simultaneous preoperative computed tomography–guided microcoil localizations of multiple pulmonary nodules

Gao

Hong

et al. 2021

Eur Radiol

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Comparison of cyanoacrylate and hookwire for localizing small pulmonary nodules: A propensity-matched cohort study

Cited by 10 publications

References 21 publications

A novel technique for preoperative localization of pulmonary nodules using a mixture of tissue adhesive and iohexol under computed tomography guidance: A 140 patient single‐center study

A novel technique for preoperative localization of pulmonary nodules using a mixture of tissue adhesive and iohexol under computed tomography guidance: A 140 patient single‐center study

Puncture frequency predicts pneumothorax in preoperative computed tomography‐guided lung nodule localization for video‐assisted thoracoscopic surgery

Simultaneous preoperative computed tomography–guided microcoil localizations of multiple pulmonary nodules

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