Electromagnetic navigation bronchoscopy—Chungnam National University Hospital experience

Cho, Hyun Jin; Roknuggaman,; Han, Woo Sik; Kang, Shin Kwang; Kang, Min-Woong

doi:10.21037/jtd.2018.03.130

Cited by 9 publications

(8 citation statements)

References 27 publications

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“…In our cohort, there were no procedural complications and the dye marking was considered successful in 91% (21/23) of the cases. This is consistent with previous reports concerning ENB‐guided pleural dye marking . In comparison, localization with hookwire and CT‐guided dye marking typically has success rates of 80‐100% but with procedural related complications of 15%‐50%, higher than observed in the current ENB study.…”

Section: Discussionsupporting

confidence: 92%

“…Of the 232 biopsy subjects with Stages I‐II lung cancer in first interim analysis of NAVIGATE there were 87 who had a surgical procedure and of those, 65 (75%) had no prior ENB‐guided dye or fiducial marking. There have been 15 clinical studies (excluding single‐patient case reports) concerning ENB‐guided dye localization and only three have enrolled over 50 patients . These numbers suggest that perhaps dye marking is not underutilized, but rather not needed frequently.…”

Section: Discussionmentioning

confidence: 99%

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Pleural dye marking of lung nodules by electromagnetic navigation bronchoscopy

Bowling

Folch

Khandhar

et al. 2019

Clinical Respiratory J

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Introduction: Electromagnetic navigation bronchoscopy (ENB)-guided pleural dye marking is useful to localize small peripheral pulmonary nodules for sublobar resection. Objective: To report findings on the use of ENB-guided dye marking among participants in the NAVIGATE study. Methods: NAVIGATE is a prospective, multicentre, global and observational cohort study of ENB use in patients with lung lesions. The current subgroup report is a prespecified 1-month interim analysis of ENB-guided pleural dye marking in the NAVIGATE United States cohort. Results: The full United States cohort includes 1215 subjects from 29 sites (April 2015 to August 2016). Among those, 23 subjects (24 lesions) from seven sites underwent dye marking in preparation for surgical resection. ENB was conducted for dye marking alone in nine subjects while 14 underwent dye marking concurrent with lung lesion biopsy, lymph node biopsy and/or fiducial marker placement. The median nodule size was 10 mm (range 4-22) and 83.3% were <20 mm in diameter.Most lesions (95.5%) were located in the peripheral third of the lung, at a median of 3.0 mm from the pleura. The median ENB-specific procedure time was 11.5 minutes

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Pleural dye marking of lung nodules by electromagnetic navigation bronchoscopy

Bowling

Folch

Khandhar

et al. 2019

Clinical Respiratory J

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“…15 Cho et al also used ENB-guided dye markings for 32 lesions in 25 patients to localize pulmonary nodules and achieved an 87.5% success rate. 24 Meanwhile, ENB-guided transbronchial approach has a relatively low incidence rate of procedure-related complications. 15,[24][25][26] Most studies have reported no specific complications except mild intrabronchial bleeding; one large scale study of 1000 subjects described the occurrence of pneumothorax, bronchopulmonary hemorrhage, and respiratory failure in 4.9, 2.3, and 0.6% cases, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…24 Meanwhile, ENB-guided transbronchial approach has a relatively low incidence rate of procedure-related complications. 15,[24][25][26] Most studies have reported no specific complications except mild intrabronchial bleeding; one large scale study of 1000 subjects described the occurrence of pneumothorax, bronchopulmonary hemorrhage, and respiratory failure in 4.9, 2.3, and 0.6% cases, respectively. 13 Nonetheless, most existing studies on ENB-guided methods were conducted only for one or two pulmonary nodules.…”

Section: Discussionmentioning

confidence: 99%

“…Bowling et al recently reported that ENB‐guided transbronchial dye marking procedure was regarded as sufficient for surgical resection in 91.3% cases in a large scale prospective cohort study 15 . Cho et al also used ENB‐guided dye markings for 32 lesions in 25 patients to localize pulmonary nodules and achieved an 87.5% success rate 24 . Meanwhile, ENB‐guided transbronchial approach has a relatively low incidence rate of procedure‐related complications 15,24–26 .…”

Section: Discussionmentioning

confidence: 99%

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Preoperative electromagnetic navigation bronchoscopy‐guided one‐stage multiple‐dye localization for resection of subsolid nodules: A single‐center pilot study

et al. 2021

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Background: Electromagnetic navigation bronchoscopy (ENB)-guided transbronchial dye marking and video-assisted thoracoscopic surgery (VATS) is an emerging technique that enables successful resection of multiple small subsolid pulmonary nodules. The aim of this study was to evaluate the accuracy and safety of preoperative ENB-guided transbronchial multiple dye localization for VATS resection of subsolid pulmonary nodules. Methods: As a single-center pilot study, we recruited patients with at least two small or subsolid pulmonary nodules. Multiple-dye localization was performed by intraoperative ENB-guided transbronchial injection of an indigo carmine dye. The patients underwent VATS for sublobar resection immediately after localization. The accuracy of ENB-guided dye marking was checked. Results: ENB-guided one-stage multiple dye localization was conducted for 18 pulmonary nodules in seven patients between September 2018 and December 2019. The mean diameter of the pulmonary nodules was 9.3 mm (range, 4-18) and the mean distance from the pleura to pulmonary nodule was 6 mm (range, 1-17 mm). ENBguided transbronchial multiple dye localization was successfully performed in 94.4% (17/18), and the accuracy of ENB-guided dye marking was 88.2% (15/17). When two nodules were not seen in intraoperative fields, anatomical sublobar resection was performed. There was no conversion to thoracotomy and operative mortalities. Among the seven patients, only one patient showed mild intrabronchial bleeding but stopped spontaneously. The changes in lung function after multiple wedge resections (À1.6% to 24.8%) were tolerable level. Conclusions: ENB-guided one-stage transbronchial dye localization showed accurate and safe intraoperative identification of multiple subsolid pulmonary nodules. A large scale prospective clinical study is warranted.

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Feasibility of Electromagnetic Navigation Bronchoscopy–Guided Injection of Methylene Blue in Locating the Multiple Pulmonary Nodules: a Case Series Analysis

Yao,

Xuan,

Chen

et al. 2023

Indian J Surg

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Electromagnetic navigation bronchoscopy—Chungnam National University Hospital experience

Abstract: The ENB-guided dye localization by a well-trained thoracic surgeon enables accurate intraoperative identification of GGN or a small pulmonary nodule, with minimal complications and enables minimally invasive surgery including single port surgery.

Cited by 9 publications

References 27 publications

Pleural dye marking of lung nodules by electromagnetic navigation bronchoscopy

Pleural dye marking of lung nodules by electromagnetic navigation bronchoscopy

Preoperative electromagnetic navigation bronchoscopy‐guided one‐stage multiple‐dye localization for resection of subsolid nodules: A single‐center pilot study

Feasibility of Electromagnetic Navigation Bronchoscopy–Guided Injection of Methylene Blue in Locating the Multiple Pulmonary Nodules: a Case Series Analysis

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