Comparison of hook-wire and medical glue for CT-guided preoperative localization of pulmonary nodules

Zhang, Huijun; Liu, Ying; Chen, Xiaofeng; He, Zelai

doi:10.3389/fonc.2022.922573

Cited by 10 publications

(21 citation statements)

References 34 publications

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“…13 Zhang et al stated that the needle bar remaining outside the patient's body could be clipped off at the skin surface and covered completely with sterile gauze. 14 In their study, the mean VAS scores of patients after localization was 5.66 ± 1.86 (range: 2-10), which was significantly higher than the pain score in our observation group. However, whether these were static scores is not specified.…”

Section: Discussioncontrasting

confidence: 58%

“…Wang et al cut the wire close to the thoracic wall puncture point, and we cut the wire 5 cm from the thoracic wall puncture point during our clinical practice since the residual was too long to be conducive to transport and care 13 . Zhang et al stated that the needle bar remaining outside the patient's body could be clipped off at the skin surface and covered completely with sterile gauze 14 . In their study, the mean VAS scores of patients after localization was 5.66 ± 1.86 (range: 2–10), which was significantly higher than the pain score in our observation group.…”

Section: Discussioncontrasting

confidence: 50%

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Evaluation of pain levels treated by the distal end of the hook‐wire positioning needle: A randomized controlled study

Ge,

Pan,

Sun

et al. 2023

Thoracic Cancer

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BackgroundSevere pain can be expected among adult patients undergoing hook‐wire CT‐guided localization of pulmonary nodules. We compared varying pain degrees between two different treatment techniques.MethodsData from 100 patients who underwent hook‐wire puncture localization under preoperative CT between May 2022 and October 2022 were prospectively reviewed. Using the random number table method, the patients were assigned to an observation and control group in a 1:1 ratio. In the observation group (n = 50), the external part of the hook‐wire positioning needle was cut off; in the control group (n = 50), the external portion of the needle was bent. Static pain scores were measured using the visual analog scale (VAS) at 30 min, 1, and 2 h post localization for patients.ResultsNo significant differences were present between the two groups in terms of patient age, sex, nodule size, and nodule location. The observation group had lower VAS scores at 30 min (2.57 ± 1.38 vs. 3.51 ± 1.87 p = 0.005), 1 h (2.43 ± 1.14 vs. 3.33 ± 1.76 p = 0.003), and 2 h (2.41 ± 1.12 vs. 3.17 ± 1.74 p = 0.011) after localization. Moreover, the pain level did not gradually worsen in either group. Both groups had a 100% localization success rate. There was no statistically significant difference (p = 0.431) in the localized complication incidences between the two groups.ConclusionsWe found both approaches for handling the hook‐wire extending outside the chest to be safe and effective. However, cutting off the hook‐wire extending outside the chest is associated with lesser pain. Moreover, pain severity does not worsen with time after localization.

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Section: Discussioncontrasting

confidence: 58%

Section: Discussioncontrasting

confidence: 50%

Evaluation of pain levels treated by the distal end of the hook‐wire positioning needle: A randomized controlled study

Ge,

Pan,

Sun

et al. 2023

Thoracic Cancer

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“…The medical adhesive can be left in the lung for a long time after positioning without restricting the patient's movement, and the position of the adhesive does not change, allowing for a more relaxed surgical interface. In the study by Zhang et al, 22 the mean time from the end of localization to the start of surgery was 16.02 ± 6.59 h in the medical adhesive group, which was significantly longer than in the hook wire localization group (2.12 ± 1.36 h). The use of surgical adhesive to localize pulmonary nodules was shown to delay surgery by 60 days in the study by Imperatori et al 23 It is also indicated for patients with multiple nodules.…”

Section: Medical Surgical Adhesive Locationmentioning

confidence: 79%

Computed tomography‐guided localization of pulmonary nodules prior to thoracoscopic surgery

et al. 2022

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With the increasing awareness of physical examination, the detection rate of pulmonary nodules is gradually increasing. For pulmonary nodules recommended for management by video-assisted thoracic surgery (VATS), preoperative localization of the nodule is required if its location is difficult to determine intraoperatively by palpation. The computed tomography (CT)-guided preoperative localization technique is the most widely used method with low operational difficulty and high efficiency, which can include hook wire, microcoil, medical dye, medical surgical adhesive, combined application, and emerging localization techniques according to the material classification. Each method has its corresponding advantages and disadvantages, but there is still a lack of unified guidelines or standards for the selection of CT-guided preoperative localization methods in clinical practice. This review summarizes the operation precautions, advantages, and shortcomings of the above localization techniques in order to provide references for clinical application.

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“…It was demonstrated that the medical sclerosing agent had lower failure rates and complications than spring coil injection [ 13 ]. Compared with hook wire, CT-guided medical glue localization had a similar success rate, a lower risk of complications, and a longer time horizon [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Cyanoacrylate glue foreign body after CT-guided localization of a pulmonary nodule during video-assisted thoracoscopic surgery: a case report

et al. 2023

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Background A tracheal foreign body is a common airway aspiration that creates an emergency, which often causes unobserved respiratory problems and requires management. Iatrogenic tracheal foreign bodies are rarely observed, which results in tracheal obstruction. If the foreign body were removed from the tracheobronchial system, it would save lives. A similar case of a tracheal foreign body was focused on, which was caused by medical glue used during preoperative computed tomography localization of pulmonary nodules. Case presentation The foreign body was deposited in the right upper bronchi, accidentally discovered after anesthesia when a double-lumen tube was located by fiber bronchoscopy. Following a video-assisted thoracoscopic surgery, the foreign body was removed using a respiratory endoscopy without subsequent adverse consequences for the patient. Conclusions There is a risk of complications from iatrogenic airway foreign bodies for preoperative localization of pulmonary nodules by injecting cyanoacrylate glue.

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Comparison of hook-wire and medical glue for CT-guided preoperative localization of pulmonary nodules

Cited by 10 publications

References 34 publications

Evaluation of pain levels treated by the distal end of the hook‐wire positioning needle: A randomized controlled study

Evaluation of pain levels treated by the distal end of the hook‐wire positioning needle: A randomized controlled study

Computed tomography‐guided localization of pulmonary nodules prior to thoracoscopic surgery

Cyanoacrylate glue foreign body after CT-guided localization of a pulmonary nodule during video-assisted thoracoscopic surgery: a case report

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