CT-Guided Percutaneous Trans-scapular Lung Biopsy in the Diagnosis of Peripheral Pulmonary Lesion Nodules of the Superior Lobes Using Large Needles

Rebonato, Alberto; Maiettini, Daniele; Andolfi, Marco; Fischer, Matthias; Vannucci, Jacopo; Metro, Giulio; Basile, Antonio; Rossi, Michele; Duranti, Michele

doi:10.1007/s00270-017-1768-0

Cited by 15 publications

(24 citation statements)

References 19 publications

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“…These rates were consistent with technical success rates reported previously in studies of CT-guided trans-bone lung ablation or biopsy (91%-100%) [13][14][15], and in studies of CT-guided CL for PNs (90%-100%) [12,[16][17][18]. Previous reports regarding percutaneous needle approaches in the scapular region have reported no incidence of neurovascular injury or signi cant hemorrhage associated with such procedures [13][14][15]. In this study, no complication was observed near the scapula.…”

Section: Discussionsupporting

confidence: 91%

“…An asymptomatic pneumothorax rate of 14.3% was observed in the present study, which is comparable to those observed in previous studies of CT-guided coil localization (9%-40%) [16][17][18], and studies of CTguided trans-scapular lung interventions (18%-29%) [13][14][15].…”

Section: Discussionsupporting

confidence: 91%

“…The present study showed the feasibility, safety, and clinical e cacy of preoperative CT-guided TSCL for SBPNs. During the CT-guided lung interventions, the needle pathway is sometimes blocked by the bone structures [13,14]. In most cases, the bone structures should be avoided and the alternative pathway was chosen.…”

Section: Discussionmentioning

confidence: 99%

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Trans-Scapular Approach Coil Localization for Scapular-Blocked Pulmonary Nodules: A Retrospective Study

Zhang

Chen

et al. 2020

Preprint

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Background: Preoperative computed tomography (CT)-guided coil localization (CL) is commonly employed to facilitate the video-assisted thoracoscopic surgery (VATS)-guided diagnostic wedge resection (WR) of pulmonary nodules (PNs). When a scapular-blocked PN (SBPN) will be localized, the trans-scapular CL (TSCL) should be performed. In this study, we investigated the safety, feasibility, and clinical efficacy of preoperative CT-guided TSCL for SBPNs.Materials and Methods: From January 2014 to September 2020, a total of 152 patients with PNs underwent CT-guided CL prior to VATS-guided WR. Among them, 14 patients had the SBPNs and underwent TSCL procedure. Results: A total of 14 SBPNs were localized in the 14 patients. The mean diameter of the 14 SBPNs was 7.4 ± 2.4 mm. Technical success rate of puncture of the scapula was 100%. No complications occurred near the scapula. Technical success rate of CL was 92.9%. One coil dropped off when performing the VATS procedure. The mean duration of the TSCL was 14.2 ± 2.7 min. Two patient (14.3%) developed aysmptomatic pneumothorax after TSCL. Technical success rate of VATS-guided WR was 92.9%. The patient who experienced technical failure of TSCL directly underwent lobectomy. The mean VATS procedure duration and blood loss were 90.0 ± 42.4 min and 62.9 ± 37.2 ml, respectively. The final diagnoses of the 14 SBPNs included invasive adenocarcinoma (n = 4), adenocarcinoma in situ (n = 9), and benign (n = 1).Conclusions: Preoperative CT-guided TSCL can be safely and simply used to facilitate high successful rates of VATS-guided WR of SBPNs.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

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Trans-Scapular Approach Coil Localization for Scapular-Blocked Pulmonary Nodules: A Retrospective Study

Zhang

Chen

et al. 2020

Preprint

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“…The present study demonstrated the feasibility, safety, and clinical efficacy of preoperative CT-guided TSCL for SBPNs. During the CT-guided lung interventions, the needle pathway may be blocked by the bone structures [13,14]. In most cases, the bone structures should be avoided and an alternative pathway chosen.…”

Section: Discussionmentioning

confidence: 99%

“…Although most of the PNs can be easily detected with a needle pathway to perform the biopsy or localization, some PNs can be blocked by the scapula [13,14]. Under the typical conditions, the scapula can be punctured when performing the lung interventions for the scapulablocked lung lesions [13,14]. However, few studies have reported on trans-scapular CL (TSCL) for scapularblocked PNs (SBPNs).…”

Section: Introductionmentioning

confidence: 99%

Trans-scapular approach coil localization for scapular-blocked pulmonary nodules: a retrospective study

Zhang

Chen

et al. 2021

J Cardiothorac Surg

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Background Preoperative computed tomography (CT)-guided coil localization (CL) is commonly used to facilitate video-assisted thoracoscopic surgery (VATS)-guided diagnostic wedge resection (WR) of pulmonary nodules (PNs). When a scapular-blocked PN (SBPN) is localized, the trans-scapular CL (TSCL) is commonly performed. In this study, we investigated the safety, feasibility, and clinical efficacy of preoperative CT-guided TSCL for SBPNs. Materials and methods From January 2014 to September 2020, a total of 152 patients with PNs underwent CT-guided CL prior to VATS-guided WR. Of these patients, 14 had SBPNs and underwent the TSCL procedure. Results A total of 14 SBPNs were localized in the 14 patients. The mean diameter of the 14 SBPNs was 7.4 ± 2.4 mm. The technical success rate of the scapula puncture was 100%. No complications occurred near the scapula. The technical success rate of CL was 92.9%. One coil dropped off when performing the VATS procedure. The mean duration of the TSCL was 14.2 ± 2.7 min. Two patients (14.3%) developed asymptomatic pneumothorax after TSCL. The technical success rate of VATS-guided WR was 92.9%. The patient who experienced technical failure of TSCL directly underwent lobectomy. The mean duration of the VATS was 90.0 ± 42.4 min and the mean blood loss was 62.9 ± 37.2 ml. The final diagnoses of the 14 SBPNs included invasive adenocarcinoma (n = 4), adenocarcinoma in situ (n = 9), and benign disease (n = 1). Conclusions Preoperative CT-guided TSCL is a safe and simple procedure that can facilitate high success rates of VATS-guided WR of SBPNs.

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