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Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery

The increased use of chest computed tomography (CT) has led to an increased detection of pulmonary nodules requiring diagnostic evaluation and/or ...

University of North Carolina at Chapel Hill

We describe the case of a 35-year-old man who presented in respiratory failure after influenza B infection requiring initiation of venovenous extracorporeal membrane oxygenation and eventual pulmonary resection for necrotizing pneumonia. Following a successful wean off venovenous extracorporeal membrane oxygenation, and once hemodynamically stable, he was taken to the operating room for decortication and left pulmonary resection. Recovery was complicated by persistent airleak requiring placement of endobronchial valves, but otherwise he recovered very well. This case demonstrates the benefits of lung resection for necrotizing pneumonia.

Venovenous Extracorporeal Membrane Oxygenation and Pulmonary Resection for Necrotizing Pneumonia.

Increased use of chest computed tomography and the institution of lung cancer screening have increased the detection of ground-glass and small pulmonary nodules. Intraoperative localization of these lesions via a minimally invasive thoracoscopic approach can be challenging. We present the feasibility of perioperative transthoracic percutaneous nodule localization using a novel electromagnetic navigation platform.

Electromagnetic Transthoracic Nodule Localization for Minimally Invasive Pulmonary Resection.

Customizable airway stents-personalized medicine reaches the airways.

In the diagnosis of lung cancer, pulmonologists have several tools at their disposal. From the tried and true convex probe endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration to robotic bronchoscopy for peripheral lesions and new technology to unblind the biopsy tools, this article elucidates and expounds on the tools currently available and being developed for lung cancer diagnosis.

Bronchoscopic Diagnostic Procedures Available to the Pulmonologist.

Screen detected and incidental pulmonary nodules are increasingly common. Current guidelines recommend tissue sampling of solid nodules >8 mm. Bronchoscopic biopsy poses the lowest risk but is paired with the lowest diagnostic yield when compared to CT-guided biopsy or surgery. A need exists for a safe, mobile, low radiation dose, intra-procedural method to localize biopsy instruments within target nodules. This retrospective cross sectional reader feasibility study evaluates the ability of clinicians to identify pulmonary nodules using a prototype carbon nanotube radiation enabled stationary digital chest tomosynthesis system.

Feasibility of a prototype carbon nanotube enabled stationary digital chest tomosynthesis system for identification of pulmonary nodules by pulmonologists.

Article	Year
Venovenous Extracorporeal Membrane Oxygenation and Pulmonary Resection for Necrotizing Pneumonia. The Annals of thoracic surgery\| PubMed ID: 30086282	2019
Electromagnetic Transthoracic Nodule Localization for Minimally Invasive Pulmonary Resection. The Annals of thoracic surgery\| PubMed ID: 31233723	2019
Customizable airway stents-personalized medicine reaches the airways. Journal of thoracic disease\| PubMed ID: 31245062	2019
Bronchoscopic Diagnostic Procedures Available to the Pulmonologist. Clinics in chest medicine\| PubMed ID: 32008625	2020
Feasibility of a prototype carbon nanotube enabled stationary digital chest tomosynthesis system for identification of pulmonary nodules by pulmonologists. Journal of thoracic disease\| PubMed ID: 35280479	2022

Allen Cole Burks

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