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European Radiology
Erschienen in: European Radiology 8/2019

10.01.2019 | Interventional

Comparison between the application of microcoil and hookwire for localizing pulmonary nodules

verfasst von: Libao Hu, Jian Gao, Chen Chen, Xin Zhi, Huixin Liu, Nan Hong

Erschienen in: European Radiology | Ausgabe 8/2019

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Abstract

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.
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Metadaten
Titel
Comparison between the application of microcoil and hookwire for localizing pulmonary nodules
verfasst von
Libao Hu
Jian Gao
Chen Chen
Xin Zhi
Huixin Liu
Nan Hong
Publikationsdatum
10.01.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
European Radiology / Ausgabe 8/2019
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-018-5939-4

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