Computed tomography–guided cyanoacrylate injection for localization of multiple ipsilateral lung nodules

Xu, Liping; Wang, Jian; Liu, Liang; Shan, Limei; Zhai, Rong; Li, He; Yao, Fei

doi:10.1007/s00330-021-08101-7

Cited by 6 publications

(10 citation statements)

References 21 publications

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“…Preoperative CT-guided localization is frequently used to prepare patients scheduled to undergo VATS sublobar resection for peripheral PNs, and such localization is associated with lower rates of VATS anatomic resection or thoracotomy [18]. Relative to the localization of a single PN, the MB-or coil-based localization of MPNs is associated with similar comfort, safety, and reliability [9,19].…”

Section: Discussionmentioning

confidence: 99%

“…An estimated 17.7-22.2% of patients with PNs harbor multiple PNs (MPNs) that warrant resection [9,10],…”

Section: Introductionmentioning

confidence: 99%

“…and the simultaneous localization of these MPNs has been explained to be correlated with substantial VATS sublobar resection rates for all target nodules [9][10][11]. Approaches most frequently employed for localization include the use of coils, hook-wire, and methylene blue (MB) [11], with all three of these materials being associated with high (> 90%) and comparable rates of technical success when used for localization [11].…”

Section: Introductionmentioning

confidence: 99%

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Preoperative computed tomography-guided localization for multiple pulmonary nodules: comparison of methylene blue and coil

Zhang

Liu

et al. 2022

J Cardiothorac Surg

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Background Preoperative computed tomography (CT)-guided localization has been used to guide the video-assisted thoracoscopic surgery (VATS) sublobar (wedge or segmental) resection for pulmonary nodules (PNs). We aimed to assess the relative efficacy and safety of CT-guided methylene blue (MB)- and coil-based approaches to the preoperative localization of multiple PNs (MPNs). Methods Between January 2015 and December 2020, 31 total cases suffering from MPNs at our hospital underwent CT-guided localization and subsequent VATS resection in our hospital, of whom 15 and 16 respectively underwent MB localization (MBL) and coil localization (CL). The clinical effectiveness and complication rates were compared between 2 groups. Results The PN- and patient-based technical success rates in the MBL group were both 100%, whereas in the CL group they were 97.2% (35/36) and 93.8% (15/16), respectively, with no substantial discrepancies between groups. Patients in the MBL group illustrated a substantially shorter CT-guided localization duration compared with the CL group (18 min vs. 29.5 min, P < 0.001). Pneumothorax rates (P = 1.000) and lung hemorrhage (P = 1.000) were comparable in both groups. In the MBL and CL groups, the median interval between localization and VATS was 1 h and 15.5 h, respectively (P < 0.001). One-stage VATS sublobar resection of the target nodules was successfully performed in all patients from both groups. Conclusion Both CT-guided MBL and CL can be readily and safely utilized for preoperative localization in individuals who had MPNs, with MBL being correlated with a shorter localization duration compared with CL.

show abstract

Section: Discussionmentioning

confidence: 99%

“…An estimated 17.7-22.2% of patients with PNs harbor multiple PNs (MPNs) that warrant resection [9,10],…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Preoperative computed tomography-guided localization for multiple pulmonary nodules: comparison of methylene blue and coil

Zhang

Liu

et al. 2022

J Cardiothorac Surg

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…An estimated 17.7-22.2% of patients with PNs harbor multiple PNs (MPNs) that warrant resection [9,10], and the simultaneous localization of these MPNs has been explained to be correlated with substantial VATS sublobar resection rates for all target nodules [9][10][11]. Approaches most frequently employed for localization include the use of coils, hook-wire, and methylene blue (MB) [11], with all three of these materials being associated with high (> 90%) and comparable rates of technical success when used for localization [11].…”

Section: Introductionmentioning

confidence: 99%

Preoperative computed tomography-guided localization for multiple pulmonary nodules: comparison of methylene blue and coil

Zhang

Liu

et al. 2022

Preprint

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Background Preoperative computed tomography (CT)-guided localization has been used to guide the video-assisted thoracoscopic surgery (VATS) sublobar (wedge or segmental) resection for pulmonary nodules (PNs). We aimed to assess the relative efficacy and safety of CT-guided methylene blue (MB)- and coil-based approaches to the preoperative localization of multiple PNs (MPNs). Methods Between January 2015 and December 2020, 31 total cases suffering from MPNs at our hospital underwent CT-guided localization and subsequent VATS resection in our hospital, of whom 15 and 16 respectively underwent MB localization (MBL) and coil localization (CL). The clinical effectiveness and complication rates were compared between 2 groups. Results The PN- and patient-based technical success rates in the MBL group were both 100%, whereas in the CL group they were 97.2% (35/36) and 93.8% (15/16), respectively, with no substantial discrepancies between groups. Patients in the MBL group illustrated a substantially shorter CT-guided localization duration compared with the CL group (20.1 min vs. 32.5 min, P < 0.001). Pneumothorax rates (P = 1.000) and lung hemorrhage (P = 1.000) were comparable in both groups. In the MBL and CL groups, the mean interval between localization and VATS was 1.2 h and 11.7 h, respectively (P < 0.001). One-stage VATS sublobar resection of the target nodules was successfully performed in all patients from both groups. Conclusion Both CT-guided MBL and CL can be readily and safely utilized for preoperative localization in individuals who had MPNs, with MBL being correlated with a shorter localization duration compared with CL.

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A novel preoperative image-guided localization for small pulmonary nodule resection using a claw-suture device

Wang,

He,

Zhang

et al. 2023

Sci Rep

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Video-assisted thoracoscopic surgery (VATS) provides better option concerning pathological diagnosis and curative intention of small pulmonary nodules (SPNs) that are sometimes challenging to localize. We assess the safety and feasibility of a new localization technique for SPNs, and report experience accumulated over time. A retrospective review of the new claw-suture localization cases between February 2018 and May 2023 was performed. Nodules were localized by a novel system that has an anchor claw and a tri-colored suture, guided by computed tomography (CT). Localization and operative procedure outcomes were then assessed. A total of 590 SPNs were localized from 568 patients before operation. The median nodule size was 0.70 cm (range, 0.3–2.0 cm). The claw-suture localization was successful without dislodgment or device fracture in 574 of 590 lesions (97.3%). Failures included not meeting target distance between claw and lesion (n = 13 [2.2%]), and device displacement (n = 3 [0.5%]). Complications requiring no further medical intervention included asymptomatic pneumothorax (n = 68 [11.5%]), parenchymal hemorrhage (n = 51 [8.6%]), and hemothorax (n = 1 [0.2%]) with the exception of pleural reaction observed in 2 cases (0.3%). Additionally, the depth of pulmonary nodules was significantly associated with the occurrence of pneumothorax (P = 0.036) and parenchymal hemorrhage (P = 0.000). The median duration of the localization was 12 min (range, 7–25 min). No patient complained of remarkable pain during the entire procedure. Retrieve of device after operation was 100%. The new localization technique is a safe, feasible, and well-tolerated method to localize SPNs for VATS resection.

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Computed tomography–guided cyanoacrylate injection for localization of multiple ipsilateral lung nodules

Cited by 6 publications

References 21 publications

Preoperative computed tomography-guided localization for multiple pulmonary nodules: comparison of methylene blue and coil

Preoperative computed tomography-guided localization for multiple pulmonary nodules: comparison of methylene blue and coil

Preoperative computed tomography-guided localization for multiple pulmonary nodules: comparison of methylene blue and coil

A novel preoperative image-guided localization for small pulmonary nodule resection using a claw-suture device

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