Comparison between the application of microcoil and hookwire for localizing pulmonary nodules.
Objectives: To compare the efficacy and safety of localization of small pulmonary nodules with microcoil and hookwire prior to surgical resection.Methods: A total of 112 patients who underwent preoperative computed tomography (CT)-guided localization of small pulmonary nodules were enrolled in this...
| Publicado en: | European Radiology Vol. 29; no. 8; pp. 4036 - 4044 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Aug2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137304116&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137304116 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Aug2019 vid: 29 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 137304116 137304116 NLM30631924 137304116 10.1007/s00330-018-5939-4 NLM30631924 137304116 ppf: 4036 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Comparison between the application of microcoil and hookwire for localizing pulmonary nodules. aug: au: Hu, Libao Gao, Jian Chen, Chen Zhi, Xin Liu, Huixin Hong, Nan affil: Department of Radiology, Peking University People's Hospital, No. 11 Xizhimen South Avenue, Beijing, China sug: subj: Surgery, Computer-Assisted Equipment and Supplies Tomography, X-Ray Computed Methods Pneumonectomy Methods Lung Neoplasms Surgery Preoperative Care Methods Thoracic Surgery Methods Aged Female Male Lung Neoplasms Diagnosis Human Retrospective Design Middle Age Validation Studies Comparative Studies Evaluation Research Multicenter Studies Aged: 65+ years Middle Aged: 45-64 years Female Male ab: Objectives: To compare the efficacy and safety of localization of small pulmonary nodules with microcoil and hookwire prior to surgical resection.Methods: A total of 112 patients who underwent preoperative computed tomography (CT)-guided localization of small pulmonary nodules were enrolled in this single-center retrospective non-randomized cohort study between June 2016 and June 2017. Seventy-nine patients who underwent percutaneous localization with microcoils formed the microcoil group; the remaining 33 patients underwent percutaneous localization with hookwires (hookwire group). The primary outcomes were the success and complication rates of the procedure. Student's t test was used for continuous variables, whereas chi-square analysis and logistic regression were used for dichotomous variables.Results: Video-assisted thoracoscopic surgery (VATS) was successfully performed in all cases, without conversion to thoracotomy. The localization success rate was 94.9% (75/79) in the microcoil group and 93.9% (31/33) in the hookwire group (p = 0.836). Hookwire group (p = 0.000) and nodule location of the lower lobe (p = 0.012) were associated with an increased incidence of pneumothorax. Hookwire group (p = 0.027) and decreased nodule diameter (p = 0.024) were associated with an increased incidence of moderate to severe chest pain, as well as an increased incidence of overall complications.Conclusions: Although the deployment of the microcoil was more complex and required more time than hookwire placement, microcoil localization was associated with fewer complications.Key Points: • CT-guided percutaneous localization using a microcoil and that using a hookwire are equally effective for localizing small pulmonary nodules prior to resection with video-assisted thoracoscopic surgery. • Lung nodule localization using a microcoil was associated with fewer complications than localization using a hookwire. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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