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Lung tattooing combined with immediate video-assisted thoracoscopic resection (IVATR) as a single procedure in a hybrid room: our institutional experience in a pediatric population

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Abstract

Background

Analysis of small pulmonary nodules in children poses an important diagnostic and therapeutic challenge for clinicians.

Objective

To review our experience of lung tattooing with immediate video-assisted thoracoscopic resection (IVATR) performed as a single procedure in a hybrid room for technical difficulties, complications and diagnostic yield of the procedure.

Material and methods

Retrospective analysis of 31 children (16 boys, 15 girls) who underwent lung tattooing of various lesions from January 2001 to July 2011. Data were collected from the Interventional Radiology database, Electronic Patient Chart (EPC) and PACS.

Results

A total of 34 lesions were treated in 31 children. Tattooing was performed on lung lesions with median size 3 mm and median depth 2 mm from pleura. Technical success was 91.1% and diagnostic yield was 100%. In seven children, it was combined with other interventional radiologic procedures. The median procedure time for lung tattooing and IVATR was 197 min.

Conclusion

Lung tattooing with IVATR as a single procedure in a hybrid room is safe and effective in children with several inherent advantages, including avoiding the need to move the child from the interventional radiology suite to the operating room.

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Acknowledgment

We thank Dr. Derek Armstrong who supplied the schematic diagram for Fig. 5.

Conflicts of interest

None.

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Authors and Affiliations

  1. Department of Diagnostic Imaging, Division of Image Guided Therapy, The Hospital for Sick Children, 555 University Ave, Toronto, Canada, M5G 1X8

    Surendra Narayanam, Joao Amaral, Philip John, Dimitri Parra, Michael Temple & Bairbre Connolly

  2. Division of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Canada

    Ted Gerstle

Authors
  1. Surendra Narayanam
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  2. Ted Gerstle
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  3. Joao Amaral
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  4. Philip John
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  5. Dimitri Parra
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  6. Michael Temple
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  7. Bairbre Connolly
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Correspondence to Surendra Narayanam.

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Narayanam, S., Gerstle, T., Amaral, J. et al. Lung tattooing combined with immediate video-assisted thoracoscopic resection (IVATR) as a single procedure in a hybrid room: our institutional experience in a pediatric population. Pediatr Radiol 43, 1144–1151 (2013). https://doi.org/10.1007/s00247-013-2665-6

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  • DOI: https://doi.org/10.1007/s00247-013-2665-6

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