Transscapular Microcoil Lung Nodule Localization

Abstract

DOI: 10.1016/j.jvir.2011.12.012 The dominant nodule in the left lower lobe posterolatrally was not amenable to conventional CT-guided localzation because of the position of the scapula. A recently escribed transscapular approach (3) was used for successul localization, resection, and pathologic diagnosis of reapsed Hodgkin disease. Figure 1a shows placement of a 22-gauge Chiba neele (black arrow), adjacent to the nodule (white arrow) hrough a fenestration created in the left scapula. In Figure b, the remainder of the microcoil has been deployed white arrow) with a portion of the coil deliberately left on he pleura (black diamond). Figure 2 shows a fluoroscopic mage after localization from the thoracoscopic resection, ith a component of the microcoil on the lung surface black arrow), and the remainder targeting the lesion (black ). An endoscopic stapler (white arrow) is applied, with a rasper (white diamond) holding the lung.