Preoperative short hookwire placement for small pulmonary lesions: evaluation of technical success and risk factors for initial placement failure

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives: To retrospectively evaluate the technical success of computed tomography fluoroscopy-guided short hookwire placement before video-assisted thoracoscopic surgery and to identify the risk factors for initial placement failure. Methods: In total, 401 short hookwire placements for 401 lesions (mean diameter 9.3 mm) were reviewed. Technical success was defined as correct positioning of the hookwire. Possible risk factors for initial placement failure (i.e., requirement for placement of an additional hookwire or to abort the attempt) were evaluated using logistic regression analysis for all procedures, and for procedures performed via the conventional route separately. Results: Of the 401 initial placements, 383 were successful and 18 failed. Short hookwires were finally placed for 399 of 401 lesions (99.5%). Univariate logistic regression analyses revealed that in all 401 procedures only the transfissural approach was a significant independent predictor of initial placement failure (odds ratio, OR, 15.326; 95% confidence interval, CI, 5.429–43.267; p < 0.001) and for the 374 procedures performed via the conventional route only lesion size was a significant independent predictor of failure (OR 0.793, 95% CI 0.631–0.996; p = 0.046). Conclusions: The technical success of preoperative short hookwire placement was extremely high. The transfissural approach was a predictor initial placement failure for all procedures and small lesion size was a predictor of initial placement failure for procedures performed via the conventional route. Key points: • Technical success of preoperative short hookwire placement was extremely high.• The transfissural approach was a significant independent predictor of initial placement failure for all procedures.• Small lesion size was a significant independent predictor of initial placement failure for procedures performed via the conventional route.

Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalEuropean Radiology
DOIs
Publication statusAccepted/In press - Dec 15 2017

Keywords

  • Interventional radiology
  • Lung
  • Preoperative localization
  • Pulmonary nodule
  • Video-assisted thoracoscopic surgery

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Fingerprint Dive into the research topics of 'Preoperative short hookwire placement for small pulmonary lesions: evaluation of technical success and risk factors for initial placement failure'. Together they form a unique fingerprint.

  • Cite this