Combining intraprocedural CT guided navigation with ventilatory strategy for atelectasis: A modified electromagnetic navigation bronchoscopy

CT-body divergence limits the accuracy of electromagnetic navigation bronchoscopy(ENB) in peripheral lung lesions diagnosis. Finding one effective and safe method to eliminating CT-body divergence may improve ENB accuracy. Thus, we developed a modified ENB which combining intraprocedural CT guided N...

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Bibliographic Details
Main Authors: Shaohua Dai, Guoqiu Xu, Zhiguo Chen, Jian Tang
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Respiratory Medicine Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213007124001473
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Summary:CT-body divergence limits the accuracy of electromagnetic navigation bronchoscopy(ENB) in peripheral lung lesions diagnosis. Finding one effective and safe method to eliminating CT-body divergence may improve ENB accuracy. Thus, we developed a modified ENB which combining intraprocedural CT guided Navigation with Ventilatory strategy for Atelectasis to eliminate CT-body divergence. We called it inCTNVA-ENB. We present the case of an 80-year-old female with peripheral pulmonary nodule (without bronchial direct connection). She underwent inCTNVA-ENB, and the navigation probe accurately reached 6mm next to the target lesion without complications. The operation time was 42 minutes, and rapid on-site evaluation showed adenocarcinoma cells. CT data revealed the CT-body divergence caused by atelectasis was reduced.
ISSN:2213-0071