Preoperative computed tomography-guided dye injection to localize multiple lung nodules for video-assisted thoracoscopic surgery

Tseng, Yao-Hui; Lee, Yee-Fan; Hsieh, Min‐Shu; Chien, Ning; Ko, Wei-Chun; Chen, Jo-Yu; Jang‐Ming, Lee; Huang, Pei-Ming; Lin, Mong-Wei; Chen, Jin‐Shing; Chang, Yeun‐Chung

doi:10.21037/jtd.2016.09.46

Cited by 45 publications

(56 citation statements)

References 17 publications

(11 reference statements)

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“…Actually, with respect to simultaneous localization of multiple pulmonary nodules, the potential challenges and problems have been well described in previous studies [15][16][17][18][19], even though a different localization technique-hook wire has been adopted. Compared to single localization, simultaneously targeting multiple nodules means repetitive procedures in a short time, which is not only associated with potential increased risk of failure and complication but also a tough process both for operators and patients.…”

Section: Discussionmentioning

confidence: 99%

“…Although the simultaneous localization has been performed or mentioned in prior studies [15][16][17][18][19], few studies have focused on the microcoil utility in simultaneous localization before VATS [19]. Thus, we retrospectively summarized the experiences of CT-guided microcoil localization in lung nodules and evaluated the efficacy and safety of microcoil utility in simultaneous localization.…”

mentioning

confidence: 99%

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The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before Video-Assisted Thoracic Surgery

Sun

et al. 2020

Preprint

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Background: To evaluate the feasibility and safety of microcoil in simultaneous localization for multiple pulmonary nodules before video-assisted thoracic surgery (VATS).Methods: Twenty-eight consecutive patients (26 two-nodule, 2 three-nodule; totally 58 nodules; Group A) underwent simultaneous CT-guided localization for multiple pulmonary nodules before VATS using microcoil. Successful targeting, localization, and VATS were defined as implantation of microcoil at the target site on CT image obtained immediately after the marking procedure, visualization of nodule location, and complete resection of the target nodule with adequate margin, respectively. Meanwhile, the clinical characteristics, localization procedure-related variables of the nodules and procedure-related complication in group A were also assessed and compared with those in a control group (221 single-localization procedures in 221 patients; Group B). Results: The similar rates of success targeting, localization and VATS were observed in group A and B (96.6% vs 98.2%; 91.4% vs 91.0%; 100% vs 99.1%). Although the rate of overall complications (including localized pneumothorax and intrapulmonary hemorrhage) was a bit higher in group A than that in group B (32.8% vs 30.8%, p=0.771), only minor complications were observed in the subjects of the two groups with no need for further treatment. In addition, the duration of simultaneous localization procedures was significantly longer than that of single localization ones (24±7.5 vs 13±6 min, p<0.001).Conclusions: CT-guided simultaneous microcoil localization for multiple pulmonary nodules before VATS was clinical feasible and safe with acceptable increasing the procedure time. Compared with localization for a single pulmonary nodule, simultaneous microcoil localizations for multiple nodules were prone to the occurrence of pneumothorax and hemorrhage. However, no statistically significant differences were observed between the two groups.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before Video-Assisted Thoracic Surgery

Sun

et al. 2020

Preprint

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“…Pneumothorax was considered to be the main complication after the localization. The rate of pneumothorax reported previously in association with hookwire insertions fluctuated between 4.7 and 38%, 8-10 5 to 29.4% with PBV dye injection, 19,20 13% with microcoil, [12][13][14] 17% with lipiodol marking, 15 and 10.4 to 30% with radiotracer placement. 23,24 The occurrence of pneumothorax in the current study was mainly due to the air leakage though the injection needle during the localization procedure.…”

Section: Commentmentioning

confidence: 94%

“…Moon et al 13 also reported a success rate with fragmented platinum microcoil of 94%. The studies by Tseng et al 20 and Ambrogi et al 23 both indicated a high-technical success rate of localization with PBV dye injection and radio-guided thoracoscopic surgery (both at 99%). Nodule marking was successful in 79 to 97.5% of cases with ENB-guided dye marking.…”

Section: Commentmentioning

confidence: 98%

“…Various methods for localization of pulmonary nodules have been reported, including CT-guided hookwire placement, [8][9][10][11] coil labeling, [12][13][14] lipiodol marking, 15 methylene blue dye injection, [16][17][18] patent blue vital (PBV) dye injection, 19,20 electromagnetic navigation bronchoscopy (ENB)-guided dye marking, 21,22 and radiotracer placement. 23,24 Hookwire localization, which is the most commonly used technique to facilitate thoracoscopic resection, has its drawbacks, including high frequency of pneumothorax and frequent dislodgement.…”

Section: Introductionmentioning

confidence: 99%

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Preoperative Computed Tomography-Guided Localization for Pulmonary Nodules with Glue and Dye

Jiang

Lin

Zhao

et al. 2020

Thorac Cardiovasc Surg

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Background This study was aimed to describe a new localization technique developed using medical glue and methylene blue dye, and characterized the localization results and postoperative outcome to evaluate its safety and usefulness. Methods This retrospective study was conducted at our center from January 2016 to April 2018. Totally 346 consecutive patients with 383 nodules who underwent preoperative computed tomography (CT)-guided medical glue and methylene blue dye localization, followed by lung resection, were enrolled in this study. Results Mean nodule size was 7.7 ± 3.7 mm (range: 2–30 mm), with a mean depth from pleura or fissure of 9.4 ± 9.3 mm (range: 0–60 mm). The success rate of CT-guided localization for pulmonary nodules was 99.5% (381/383) of the nodules. Localization-related complications included mild pneumothorax in 16 (4.6%) patients, mild hemothorax in 7 (2.0%) patients, and hemoptysis in 1 (0.3%) patient. Pleural reaction occurred in 7 (2.0%) and pain in 25 (7.2%) patients. All 383 nodules were resected successfully, with conversion to thoracotomy only required in two patients for adhesion and calcification of lymph nodes. All patients recovered well postoperatively, with a short postoperative hospital stay (3.7 ± 2.0 days) and a low complication rate (2.6%, 9/346). Conclusion CT-guided medical glue and methylene blue dye localization prior to video-assisted thoracoscopic surgery (VATS) lung resection was a novel, safe, and technically feasible method, with a high-technical success rate and a low-complication rate. It allowed surgeons to easily locate and detect the nodules and estimate the surgical margin.

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

Wang

Liu

et al. 2021

Eur Radiol

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Preoperative computed tomography-guided dye injection to localize multiple lung nodules for video-assisted thoracoscopic surgery

Cited by 45 publications

References 17 publications

The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before Video-Assisted Thoracic Surgery

The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before Video-Assisted Thoracic Surgery

Preoperative Computed Tomography-Guided Localization for Pulmonary Nodules with Glue and Dye

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

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