Ion: Technology and Techniques for Shape-sensing Robotic-assisted Bronchoscopy.

Autor:	Reisenauer J; Department of Pulmonary Medicine and Thoracic Surgery, Mayo Clinic, Rochester, Minnesota. Electronic address: reisenauer.janani@mayo.edu., Simoff MJ; Department of Pulmonary and Critical Care Medicine, Henry Ford Hospital, Detroit, Michigan., Pritchett MA; Pulmonary Department, Pinehurst Medical Clinic, Pinehurst, North Carolina; Pulmonary Department, FirstHealth Moore Regional Hospital, Pinehurst, North Carolina., Ost DE; Department of Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas., Majid A; Department of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center-Harvard Medical School, Boston, Massachusetts., Keyes C; Department of Pulmonary and Critical Care Medicine, Massachusetts General Hospital-Harvard Medical School, Boston, Massachusetts., Casal RF; Department of Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas., Parikh MS; Department of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center-Harvard Medical School, Boston, Massachusetts., Diaz-Mendoza J; Department of Pulmonary and Critical Care Medicine, Henry Ford Hospital, Detroit, Michigan., Fernandez-Bussy S; Department of Pulmonary Medicine, Mayo Clinic, Jacksonville, Florida., Folch EE; Department of Pulmonary and Critical Care Medicine, Massachusetts General Hospital-Harvard Medical School, Boston, Massachusetts.
Jazyk:	angličtina
Zdroj:	The Annals of thoracic surgery [Ann Thorac Surg] 2022 Jan; Vol. 113 (1), pp. 308-315. Date of Electronic Publication: 2021 Aug 08.
DOI:	10.1016/j.athoracsur.2021.06.086
Abstrakt:	Purpose: This report describes the Ion Endoluminal System (Intuitive Surgical, Inc, Sunnyvale, CA) and practices for safe and effective use in patients with small peripheral pulmonary nodules (PPNs). Description: This shape-sensing robotic-assisted bronchoscopy system allows airway visualization and navigation to reach and biopsy small PPNs through a stable platform. The system provides 3-dimensional mapping and visualization of the airways, a flexible and fully articulating 3.5-mm (outer diameter) catheter, a peripheral vision probe, and system-specific biopsy needles. Evaluation: The Ion Endoluminal System was evaluated in an ongoing prospective, multicenter trial including 241 patients with 270 PPNs (largest mean cardinal measurement, 18.8 ± 6.5 mm). Mean time to register and navigate decreased from 10 minutes in the first 10 cases to 7 minutes in the subsequent cases. Asymptomatic pneumothorax occurred in 8 patients (3.3%), 1 (0.4%) with pigtail catheter placement. Two patients (0.8%) experienced airway bleeding; both cases of bleeding resolved within 5 minutes of tamponade. Conclusions: The Ion Endoluminal System's unique shape-sensing technology can be leveraged to facilitate localization and sampling of PPNs and potentially improve diagnostic accuracy. (Copyright © 2022 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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