Retrospective Evaluation of Safety, Efficacy and Risk Factors for Pneumothorax in Simultaneous Localizations of Multiple Pulmonary Nodules Using Hook Wire System

Purpose To evaluate the safety and efficacy of the hook wire system in the simultaneous localizations for multiple pulmonary nodules (PNs) before video-assisted thoracoscopic surgery (VATS), and to clarify the risk factors for pneumothorax associated with the localization procedure. Methods Between...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2017-09, Vol.40 (9), p.1408-1414
Main Authors: Zhong, Yan, Xu, Xiao-Quan, Pan, Xiang-Long, Zhang, Wei, Xu, Hai, Yuan, Mei, Kong, Ling-Yan, Pu, Xue-Hui, Chen, Liang, Yu, Tong-Fu
Format: Article
Language:English
Subjects:
Adult
Aged
Cardiology
Case-Control Studies
Clinical Investigation
Demographics
Equipment Failure
Female
Humans
Imaging
Intraoperative Complications - etiology
Lesions
Localization
Lung - pathology
Lung - surgery
Lung Neoplasms - pathology
Lung Neoplasms - surgery
Lung nodules
Male
Medicine
Medicine & Public Health
Middle Aged
Multiple Pulmonary Nodules - pathology
Multiple Pulmonary Nodules - surgery
Multivariate Analysis
Nodules
Nuclear Medicine
Patient Safety
Patients
Pneumothorax
Pneumothorax - etiology
Radiology
Regression analysis
Retrospective Studies
Risk analysis
Risk Factors
Surgery
Thoracic Surgery, Video-Assisted - adverse effects
Thoracic Surgery, Video-Assisted - instrumentation
Treatment Outcome
Ultrasound
Wire
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Summary:Purpose To evaluate the safety and efficacy of the hook wire system in the simultaneous localizations for multiple pulmonary nodules (PNs) before video-assisted thoracoscopic surgery (VATS), and to clarify the risk factors for pneumothorax associated with the localization procedure. Methods Between January 2010 and February 2016, 67 patients (147 nodules, Group A) underwent simultaneous localizations for multiple PNs using a hook wire system. The demographic, localization procedure-related information and the occurrence rate of pneumothorax were assessed and compared with a control group (349 patients, 349 nodules, Group B). Multivariate logistic regression analyses were used to determine the risk factors for pneumothorax during the localization procedure. Results All the 147 nodules were successfully localized. Four (2.7%) hook wires dislodged before VATS procedure, but all these four lesions were successfully resected according to the insertion route of hook wire. Pathological diagnoses were acquired for all 147 nodules. Compared with Group B, Group A demonstrated significantly longer procedure time ( p  
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-017-1631-3