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Comparison between the application of microcoil and hookwire for localizing pulmonary nodules

  • Interventional
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Abstract

Objectives

To compare the efficacy and safety of localization of small pulmonary nodules with microcoil and hookwire prior to surgical resection.

Methods

A total of 112 patients who underwent preoperative computed tomography (CT)-guided localization of small pulmonary nodules were enrolled in this single-center retrospective non-randomized cohort study between June 2016 and June 2017. Seventy-nine patients who underwent percutaneous localization with microcoils formed the microcoil group; the remaining 33 patients underwent percutaneous localization with hookwires (hookwire group). The primary outcomes were the success and complication rates of the procedure. Student’s t test was used for continuous variables, whereas chi-square analysis and logistic regression were used for dichotomous variables.

Results

Video-assisted thoracoscopic surgery (VATS) was successfully performed in all cases, without conversion to thoracotomy. The localization success rate was 94.9% (75/79) in the microcoil group and 93.9% (31/33) in the hookwire group (p = 0.836). Hookwire group (p = 0.000) and nodule location of the lower lobe (p = 0.012) were associated with an increased incidence of pneumothorax. Hookwire group (p = 0.027) and decreased nodule diameter (p = 0.024) were associated with an increased incidence of moderate to severe chest pain, as well as an increased incidence of overall complications.

Conclusions

Although the deployment of the microcoil was more complex and required more time than hookwire placement, microcoil localization was associated with fewer complications.

Key Points

• CT-guided percutaneous localization using a microcoil and that using a hookwire are equally effective for localizing small pulmonary nodules prior to resection with video-assisted thoracoscopic surgery.

• Lung nodule localization using a microcoil was associated with fewer complications than localization using a hookwire.

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Abbreviations

CT:

Computed tomography

VATS:

Video-assisted thoracoscopic surgery

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Funding

The authors state that this work has not received any funding.

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Authors and Affiliations

  1. Department of Radiology, Peking University People’s Hospital, No. 11 **zhimen South Avenue, Bei**g, China

    Libao Hu, Jian Gao, Chen Chen, **n Zhi & Nan Hong

  2. Department of Clinical Epidemiology, Peking University People’s Hospital, No. 11 **zhimen South Avenue, Bei**g, China

    Huixin Liu

Authors
  1. Libao Hu
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  2. Jian Gao
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  3. Chen Chen
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  4. **n Zhi
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  5. Huixin Liu
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  6. Nan Hong
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Corresponding author

Correspondence to Jian Gao.

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Guarantor

The scientific guarantor of this publication is Jian Gao.

Conflict of interest

The authors declare that they have no competing interests.

Statistics and biometry

Huixin Liu (Department of Clinical Epidemiology, Peking University People’s Hospital, Bei**g, China), PhD, provided statistical advice for this study, and she is one of the authors.

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Written informed consent was waived by the Institutional Review Board.

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Institutional Review Board approval was obtained.

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• retrospective

• observational

• performed at one institution

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Hu, L., Gao, J., Chen, C. et al. Comparison between the application of microcoil and hookwire for localizing pulmonary nodules. Eur Radiol 29, 4036–4043 (2019). https://doi.org/10.1007/s00330-018-5939-4

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  • DOI: https://doi.org/10.1007/s00330-018-5939-4

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