CT Fluoroscopic-Guided Coil Localization of Lung Nodules prior to Video-Assisted Thoracoscopic Surgical Resection Reduces Complications Compared to Hook Wire Localization

Journal of Vascular and Interventional Radiology : JVIR
Nassir RostambeigiPrashant Shrestha

Abstract

To compare the safety and efficacy of hook wire versus microcoil localization of pulmonary nodules prior to video-assisted thoracoscopic resection (VATS). A retrospective comparative review was conducted of 46 patients (26 hook wire and 20 microcoil) who underwent computed tomography fluoroscopic-guided nodule localizations prior to VATS in a single center between January 2012 and August 2016. Nodule characteristics, procedural details, clinical outcomes, and pathologic findings were collected. Baseline characteristics and lung nodule distribution were not significantly different between the 2 groups. Nodule sizes ranged from 2 mm to 28 mm and were similar between groups. Twenty-nine patients (63%) were male, with mean (standard deviation) age of 61 (11) years. Adverse events were classified using standard criteria. Patients were followed for up to 90 days, and the clinical outcomes were compared. Successful resection of nodules was achieved in all patients. Twelve cases of displacement of the hook wire were observed compared to only 1 in the coil group (P < .01). The total complication rate was lower in the coil group (25% vs 54%, P = .04). Two patients required transition to thoracotomy in the hook wire group, compared to non...Continue Reading

Citations

Feb 11, 2020·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Shi-Hang SunYun-Feng Zhang
Mar 14, 2020·Therapeutic Advances in Respiratory Disease·Fei TengYu-Fei Fu
Apr 21, 2020·The Thoracic and Cardiovascular Surgeon·Ze-Dong ZhangYu-Fei Fu
Sep 2, 2020·Journal of Vascular and Interventional Radiology : JVIR·Hussein D AounFrank Baciewcz
Dec 29, 2021·The Thoracic and Cardiovascular Surgeon·Ye TianHongtao Niu

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