Combination of the Archimedes Navigation System and cryobiopsy in diagnosis of diffuse lung disease
| Autor: | Yong Qi, Xiaoju Zhang, Huili Li, Zheng Wang, Yunxia An, Guannan Sun, Weixia Xuan, Quncheng Zhang, Dongjun Cheng |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Lung Diseases
medicine.medical_specialty Prospective Clinical Research Report Medicine (General) Archimedes Navigation System diagnosis Biopsy Diffuse lung disease cryobiopsy complication Biochemistry diffuse lung disease 03 medical and health sciences 0302 clinical medicine R5-920 Bronchoscopy medicine Humans 030212 general & internal medicine Lung Preoperative planning business.industry Incidence (epidemiology) Biochemistry (medical) Navigation system Pneumothorax Cell Biology General Medicine preoperative planning 030228 respiratory system Radiology Complication business |
| Zdroj: | Journal of International Medical Research, Vol 49 (2021) The Journal of International Medical Research |
| ISSN: | 1473-2300 |
| Popis: | Objective To evaluate the efficacy of the Archimedes Navigation System (Broncus Medical, San Jose, CA, USA) for guidance during transbronchial cryobiopsy and the incidence of complications in patients with diffuse lung disease. Methods High-resolution computed tomography and transbronchial cryobiopsy were used to evaluate eight patients with diffuse lung disease. The Archimedes Navigation System was used before cryobiopsy to obtain the best path with which to avoid large vessels. Three to five cryobiopsy specimens were taken from each sampled segment. Results Preoperative planning using the Archimedes Navigation System was successfully performed on all eight patients. The probe-to-pleura distance was approximately 10 mm. No cases of pneumothorax occurred, one patient developed moderate bleeding, two developed minor bleeding, and five developed minimal bleeding that stopped spontaneously. A final diagnosis was obtained for seven patients, and ongoing follow-up was being conducted for the last patient at the time of this writing. Conclusions This is the first report of combining navigation technology with cryobiopsy to diagnose diffuse lung disease. The Archimedes Navigation System, which provides real-time guidance, is helpful in pre-cryobiopsy planning and diagnosis of diffuse lung disease. Moreover, this system can reduce the pneumothorax rate and bleeding risk by avoiding large vessels. |
| Databáze: | OpenAIRE |
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