Transthoracic Lung node biopsy under navigation of C-arm based universal angiographic complex
https://doi.org/10.24884/0042-4625-2020-179-4-56-61
Abstract
The objective was to study the possibilities of using the C-arm based universal angiographic complex as a navigation system in transthoracic biopsies of pulmonary nodules.
Methods and materials. The study is based on the data of 60 patients with lesion size from 10 to 103 mm (mean 51 mm) have been underwent the transthoracic biopsy using C-arm based universal angiographic complex navigation. A total of 69 biopsies were performed (60 primary, 9 repeated). The procedure was made with local anesthesia in an interventional operating room. The postoperative observation time was 1 day.
Results. A tissue sample was got in all cases. As a result of a biopsy, a malignant tumor was confirmed in 70 % of patients (42 people). At the primary biopsy, data for the malignant process were not obtained in 30 % (18 people), however, in half of the cases (9 people), the diagnosis of a malignant tumor was confirmed after repeated biopsy. The radiation dose received by the patient was 2.05-60.50 mSv (mean 13.94mSv), which is comparable to the radiation dose in traditional CT navigation and less than the average dose of radiation obtained using CT fluoroscopy. Sensitivity, specificity, accuracy were 82.35, 100 и 35 % respectively. Complications occurred in 18 cases (26.09 %). There was no need to perform interventions under general anesthesia. Transfer of patients to the intensive care unit was not required. No fatal complications occurred.
Conclusion. This navigation system is safe and effective and can be used routinely.
About the Authors
I. S. Baryshnikov
Pavlov Medical University
Russian Federation
Competing Interests: not
Russian Federation
Baryshnikov Ilia S. - Assistant of the Department of Oncology of the Faculty of Postgraduate Education.
6-8, L’va Tolstogo str., Saint Peterburg, 197022
Competing Interests: not
A. O. Egorova
City Clinical Oncological Dispensary
Russian Federation
Competing Interests: not
Russian Federation
Egorova Anna O. - Oncologist of the Department of Radiosurgical Methods of Diagnostics and Treatment.
Saint PetersburgCompeting Interests: not
Dmitry Alexandrovich Polezhaev
Pavlov University; City Clinical Oncological Dispensary
Russian Federation
Competing Interests: not
Russian Federation
Polezhaev Dmitry A. - Associate Professor of the Department of Oncology of the Faculty of Postgraduate Education, Pavlov University, Oncologist of Thoracic Oncology Department, CCOD.
Saint Petersburg
Competing Interests: not
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Review
For citations:
Baryshnikov I.S., Egorova A.O., Polezhaev D.A. Transthoracic Lung node biopsy under navigation of C-arm based universal angiographic complex. Grekov's Bulletin of Surgery. 2020;179(4):56-61. (In Russ.) https://doi.org/10.24884/0042-4625-2020-179-4-56-61
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