TY - JOUR
T1 - Ion
T2 - Technology and Techniques for Shape-sensing Robotic-assisted Bronchoscopy
AU - Reisenauer, Janani
AU - Simoff, Michael J.
AU - Pritchett, Michael A.
AU - Ost, David E.
AU - Majid, Adnan
AU - Keyes, Colleen
AU - Casal, Roberto F.
AU - Parikh, Mihir S.
AU - Diaz-Mendoza, Javier
AU - Fernandez-Buzzy, Sebastian
AU - Folch, Erik E.
N1 - Publisher Copyright:
© 2022 The Society of Thoracic Surgeons
PY - 2022/1
Y1 - 2022/1
N2 - Purpose: This report describes the Ion Endoluminal System (Intuitive Surgical, Inc, Sunnyvale, CA) and practices for safe and effective use in patients with small peripheral pulmonary nodules (PPNs). Description: This shape-sensing robotic-assisted bronchoscopy system allows airway visualization and navigation to reach and biopsy small PPNs through a stable platform. The system provides 3-dimensional mapping and visualization of the airways, a flexible and fully articulating 3.5-mm (outer diameter) catheter, a peripheral vision probe, and system-specific biopsy needles. Evaluation: The Ion Endoluminal System was evaluated in an ongoing prospective, multicenter trial including 241 patients with 270 PPNs (largest mean cardinal measurement, 18.8 ± 6.5 mm). Mean time to register and navigate decreased from 10 minutes in the first 10 cases to 7 minutes in the subsequent cases. Asymptomatic pneumothorax occurred in 8 patients (3.3%), 1 (0.4%) with pigtail catheter placement. Two patients (0.8%) experienced airway bleeding; both cases of bleeding resolved within 5 minutes of tamponade. Conclusions: The Ion Endoluminal System's unique shape-sensing technology can be leveraged to facilitate localization and sampling of PPNs and potentially improve diagnostic accuracy.
AB - Purpose: This report describes the Ion Endoluminal System (Intuitive Surgical, Inc, Sunnyvale, CA) and practices for safe and effective use in patients with small peripheral pulmonary nodules (PPNs). Description: This shape-sensing robotic-assisted bronchoscopy system allows airway visualization and navigation to reach and biopsy small PPNs through a stable platform. The system provides 3-dimensional mapping and visualization of the airways, a flexible and fully articulating 3.5-mm (outer diameter) catheter, a peripheral vision probe, and system-specific biopsy needles. Evaluation: The Ion Endoluminal System was evaluated in an ongoing prospective, multicenter trial including 241 patients with 270 PPNs (largest mean cardinal measurement, 18.8 ± 6.5 mm). Mean time to register and navigate decreased from 10 minutes in the first 10 cases to 7 minutes in the subsequent cases. Asymptomatic pneumothorax occurred in 8 patients (3.3%), 1 (0.4%) with pigtail catheter placement. Two patients (0.8%) experienced airway bleeding; both cases of bleeding resolved within 5 minutes of tamponade. Conclusions: The Ion Endoluminal System's unique shape-sensing technology can be leveraged to facilitate localization and sampling of PPNs and potentially improve diagnostic accuracy.
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U2 - 10.1016/j.athoracsur.2021.06.086
DO - 10.1016/j.athoracsur.2021.06.086
M3 - Article
C2 - 34370981
AN - SCOPUS:85120917200
SN - 0003-4975
VL - 113
SP - 308
EP - 315
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 1
ER -