Fluoroscopy-guided barium marking for localizing small pulmonary lesions before video-assisted thoracic surgery

Purpose: To evaluate the effectiveness of fluoroscopy-guided barium marking for localization of small peripheral pulmonary lesions before video-assisted thoracic surgery (VATS) resection. Material & methods: Twenty-one patients with peripheral pulmonary lesions 15mm or less in diameter who were...

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Veröffentlicht in:Respiratory medicine 2005-03, Vol.99 (3), p.285-289
Hauptverfasser: Iwasaki, Yoshinobu, Nagata, Kazuhiro, Yuba, Tatsuya, Hosogi, Shigekuni, Kohno, Kenji, Ohsugi, Shuji, Kuwahara, Hiroomi, Takemura, Yoshizumi, Yokomura, Ichiro
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container_end_page 289
container_issue 3
container_start_page 285
container_title Respiratory medicine
container_volume 99
creator Iwasaki, Yoshinobu
Nagata, Kazuhiro
Yuba, Tatsuya
Hosogi, Shigekuni
Kohno, Kenji
Ohsugi, Shuji
Kuwahara, Hiroomi
Takemura, Yoshizumi
Yokomura, Ichiro
description Purpose: To evaluate the effectiveness of fluoroscopy-guided barium marking for localization of small peripheral pulmonary lesions before video-assisted thoracic surgery (VATS) resection. Material & methods: Twenty-one patients with peripheral pulmonary lesions 15mm or less in diameter who were scheduled to undergo VATS resection were studied. A catheter was inserted bronchoscopically into the target segment and guided to a presumed lesion. The tip of the catheter was confirmed fluoroscopically to be at the exact spot determined beforehand. A 50% (weight/volume) barium sulfate suspension was instilled into the bronchus through the catheter, and the site of barium marking was ascertained by CT scanning. Results: The average instilled volume of barium was 0.42±0.07ml. On CT scans, barium spots were superimposed on the target lesions in 19 of the 21 patients and were only 6–7mm from the lesions in the other 2. Barium was well preserved in all patients at the time of VATS resection. A mild cough persisted for about 1 week in one patient, but the other patients had no specific complications. Conclusion: Fluoroscopy-guided barium marking is a safe, convenient, and reliable method for localization of small pulmonary lesions before VATS resection.
doi_str_mv 10.1016/j.rmed.2004.07.015
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Material &amp; methods: Twenty-one patients with peripheral pulmonary lesions 15mm or less in diameter who were scheduled to undergo VATS resection were studied. A catheter was inserted bronchoscopically into the target segment and guided to a presumed lesion. The tip of the catheter was confirmed fluoroscopically to be at the exact spot determined beforehand. A 50% (weight/volume) barium sulfate suspension was instilled into the bronchus through the catheter, and the site of barium marking was ascertained by CT scanning. Results: The average instilled volume of barium was 0.42±0.07ml. On CT scans, barium spots were superimposed on the target lesions in 19 of the 21 patients and were only 6–7mm from the lesions in the other 2. Barium was well preserved in all patients at the time of VATS resection. A mild cough persisted for about 1 week in one patient, but the other patients had no specific complications. 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Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Respiratory medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iwasaki, Yoshinobu</au><au>Nagata, Kazuhiro</au><au>Yuba, Tatsuya</au><au>Hosogi, Shigekuni</au><au>Kohno, Kenji</au><au>Ohsugi, Shuji</au><au>Kuwahara, Hiroomi</au><au>Takemura, Yoshizumi</au><au>Yokomura, Ichiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fluoroscopy-guided barium marking for localizing small pulmonary lesions before video-assisted thoracic surgery</atitle><jtitle>Respiratory medicine</jtitle><addtitle>Respir Med</addtitle><date>2005-03-01</date><risdate>2005</risdate><volume>99</volume><issue>3</issue><spage>285</spage><epage>289</epage><pages>285-289</pages><issn>0954-6111</issn><eissn>1532-3064</eissn><abstract>Purpose: To evaluate the effectiveness of fluoroscopy-guided barium marking for localization of small peripheral pulmonary lesions before video-assisted thoracic surgery (VATS) resection. Material &amp; methods: Twenty-one patients with peripheral pulmonary lesions 15mm or less in diameter who were scheduled to undergo VATS resection were studied. A catheter was inserted bronchoscopically into the target segment and guided to a presumed lesion. The tip of the catheter was confirmed fluoroscopically to be at the exact spot determined beforehand. A 50% (weight/volume) barium sulfate suspension was instilled into the bronchus through the catheter, and the site of barium marking was ascertained by CT scanning. Results: The average instilled volume of barium was 0.42±0.07ml. On CT scans, barium spots were superimposed on the target lesions in 19 of the 21 patients and were only 6–7mm from the lesions in the other 2. Barium was well preserved in all patients at the time of VATS resection. A mild cough persisted for about 1 week in one patient, but the other patients had no specific complications. Conclusion: Fluoroscopy-guided barium marking is a safe, convenient, and reliable method for localization of small pulmonary lesions before VATS resection.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>15733503</pmid><doi>10.1016/j.rmed.2004.07.015</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Adenocarcinoma - diagnostic imaging
Adenocarcinoma - surgery
Adult
Aged
Barium marking
Barium Sulfate
Biological and medical sciences
Bronchoscope
Contrast Media
Female
Fluoroscopy
Fluoroscopy - methods
Humans
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - surgery
Male
Medical sciences
Middle Aged
Pneumology
Preoperative Care - methods
Prospective Studies
Reproducibility of Results
Small pulmonary lesion
Thoracic Surgery, Video-Assisted - methods
Tomography, X-Ray Computed - methods
Video-assisted thoracic surgery
title Fluoroscopy-guided barium marking for localizing small pulmonary lesions before video-assisted thoracic surgery
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