Percutaneous transthoracic localization of pulmonary nodules under C-arm cone-beam CT virtual navigation guidance

Kim, Tae Ho; Park, Chang Min; Lee, Sang Min; McAdams, H. Page; Kim, Young Tae; Goo, Jin Mo

doi:10.5152/dir.2015.15297

Cited by 10 publications

(6 citation statements)

References 32 publications

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“…Several techniques have been developed to aid in the identification of pulmonary nodules, including digital palpation (11), the preoperative hookwire technique (4,5,12,13), preoperative microcoil placement (14,15), preoperative dye localization (16)(17)(18)(19)(20)(21)(22)(23)(24), fluoroscopy with contrast medium (25), intraoperative ultrasonography (26), preoperative agar marking (27), the endofinger device for tactile localization (28), radio-guidance (29), or a combination of these methods. Recently, preoperative bronchoscopic lung marking guided by virtual bronchoscopy (virtual-assisted lung mapping) has also been developed (30).…”

Section: Discussionmentioning

confidence: 99%

“…These authors also reported that ICG provided superior visualization compared to indigo carmine during resection, especially in patients with anthracotic lungs. Several other studies that used dyes employed lipiodol (17) or methylene blue (19) as the marking dye. However, lipiodol may pose a risk for pulmonary or cerebral infarction because of its high viscosity, although this is merely speculative and additional research is necessary.…”

Section: Discussionmentioning

confidence: 99%

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Computed tomography-guided preoperative localization of small lung nodules with indocyanine green

et al. 2017

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Background Small, deep-seated lung nodules and sub-solid nodules are often difficult to locate without marking. Purpose To evaluate the success and complication rates associated with the use of indocyanine green (ICG) to localize pulmonary nodules before resection. Material and Methods This retrospective study was approved by our institutional review board. Informed consent for performing preoperative localization using ICG marking was obtained from all patients. Thirty-seven patients (14 men, 23 women; mean age = 63.1 years; age range = 10-82 years) with small peripheral pulmonary nodules underwent computed tomography (CT)-guided ICG marking immediately before surgery between March 2007 and June 2016. The procedural details and complication rates associated with ICG marking are described. Results The average nodule size and depth were 9.1 mm (range = 2-22 mm) and 9.9 mm (range = 0-33 mm), respectively. Marking was detected at the pleural surface in 35 patients (95%). Three cases of mild pneumothorax (8%), five cases of cough (14%), and one case of mild bloody sputum (3%) with no clinical significance were noted. There were no severe complications. The average duration required to perform the marking was 19.4 min (range = 12-41 min). Conclusion Our results indicate that CT-guided ICG marking is safe and useful for detecting the location of small pulmonary nodules preoperatively.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Computed tomography-guided preoperative localization of small lung nodules with indocyanine green

et al. 2017

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“…of confirming whether the lesion is included in the specimen through the C-arm after resection. 37 There are several limitations in this study. First, this was not a randomized controlled trial but a comparative prospective trial using 2 arms.…”

Section: Thormentioning

confidence: 92%

Hook-wire localization versus lipiodol localization for patients with pulmonary lesions having ground-glass opacity

Park

Lee

et al. 2020

The Journal of Thoracic and Cardiovascular Surgery

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“…Some scholars have proposed methods that do not rely on CT guided lung puncture positioning, such as the use of intrathoracic natural anatomical markers, intraoperative ultrasound, 3D printing navigational template, intraoperative virtual reality, magnetic navigation/virtual bronchoscope (5)(6)(7)(8)(9)(10)(11)(12). These methods reduce the risk of puncture, but the economic and time cost for latter several methods are too expensive to implement.…”

Section: Discussionmentioning

confidence: 99%

Post-Anesthesia Hookwire Localization of Pulmonary Ground Glass Nodules Guided by Computed-Tomography Three-Dimensional Reconstruction: A Feasibility Study

Wang

Liu

Xiao

et al. 2021

Preprint

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Background: Computed-tomography(CT) guided hookwire localization has disadvantages, such as pain, patient transport risk and increased radiation exposure. In order to overcome the above shortcomings, our method is post-anesthesia hookwire localization guided by preoperative CT three-dimensional reconstruction. The effectiveness and safety of this method will be studied.Methods: A total of 36 patients(36 nodules) with ground glass nodules were consecutively included in this study. Three dimensional reconstruction of chest CT was performed to simulate the puncture path. The puncture point, the depth and angle of needle insertion were recorded. After anesthesia, the puncture point was marked on the patient's body surface. Hookwire was placed according to the previous planned puncture direction and depth. The effectiveness and complications of the localization were evaluated during the operation.Results: Hookwire dislocation was found in 1 patient in operation. The other 35 nodules were successfully positioned. The median distance between hookwire and lesion was 14mm(3-25mm). The effective rate was 97.2%(35/36). Only one patient found a small amount of blood in the chest. There was no pulmonary hematoma, blood pressure or oxygen decreasing in all patients. The complication rate was 2.8% (1/36) and the severe complication was 0. The median time for localization was 3 minutes. Conclusion: Post-anesthesia hookwire localization guided by preoperative three-dimensional reconstruction is a simple, safe and effective localization method, which is suitable for appropriate nodules, and is an important supplement to CT guided localization.Trial registration: ChiCTR1900023853. Registered in Chinese Clinical Trail Registry on 14 June 2019, http://www.chictr.org.cn/showprojen.aspx?proj=40060

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Percutaneous transthoracic localization of pulmonary nodules under C-arm cone-beam CT virtual navigation guidance

Cited by 10 publications

References 32 publications

Computed tomography-guided preoperative localization of small lung nodules with indocyanine green

Computed tomography-guided preoperative localization of small lung nodules with indocyanine green

Hook-wire localization versus lipiodol localization for patients with pulmonary lesions having ground-glass opacity

Post-Anesthesia Hookwire Localization of Pulmonary Ground Glass Nodules Guided by Computed-Tomography Three-Dimensional Reconstruction: A Feasibility Study

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