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Vol. 43. Issue 8.
Pages 460-463 (January 2007)
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Vol. 43. Issue 8.
Pages 460-463 (January 2007)
Techniques and Procedures
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Preliminary Experience With the Use of Electromagnetic Navigation for the Diagnosis of Peripheral Pulmonary Nodules and Enlarged Mediastinal Lymph Nodes
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Luis M. Seijoa,
Corresponding author
lmseijo@unav.es

Correspondence: Dr. L.M. Seijo. Departamento de Neumología. Clínica Universitaria de Navarra. Avda. Pío XII, 36. 31008 Pamplona. Navarra. España
, Gorka Bastarrikab, María Dolores Lozanoc, Javier J. Zuluetaa
a Departamento de Neumología, Clínica Universitaria de Navarra, Universidad de Navarra, Pamplona, Navarra, Spain
b Departamento de Radiología, Clínica Universitaria de Navarra, Universidad de Navarra, Pamplona, Navarra, Spain
c Departamento de Anatomía Patológica, Clínica Universitaria de Navarra, Universidad de Navarra, Pamplona, Navarra, Spain
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Electromagnetic navigation is a new technique that can be used with bronchoscopy to obtain samples of small peripheral nodular lesions and enlarged mediastinal lymph nodes. It is very versatile in that it enables both transbronchial biopsies and fine-needle aspiration to be performed. We describe 2 cases in which navigation with the superDimension/ Bronchus system combined with traditional diagnostic techniques facilitated a definitive diagnosis by bronchoscopy. Electromagnetic navigation can obviate the need for more invasive diagnostic procedures such as surgery, thus saving time and money and avoiding complications.

Key words:
Bronchoscopy
Navigation
Biopsy

La navegación electromagnética es una técnica novedosa capaz de facilitar la obtención mediante broncoscopio de muestras de lesiones nodulares periféricas de pequeño tamaño y adenopatías mediastínicas. Permite realizar tanto biospias transbronquiales como punciones con aguja citológica, y por ello es muy versátil. Publicamos el resultado de 2 casos en los que la combinación de navegación con el sistema superDimension/Bronchus y de técnicas diagnósticas convencionales facilitó el diagnóstico definitivo mediante broncoscopia. La navegación electromagnética ofrece la posibilidad de evitar métodos diagnósticos invasivos como la cirugía, con el consiguiente ahorro económico, de tiempo y de complicaciones.

Palabras clave:
Broncoscopia
Navegación
Biopsia
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REFERENCES
[1]
WA Baaklini, MA Reinoso, AB Gorin, A Sharafkaneh, P Manian.
Diagnostic yield of fiberoptic bronchoscopy in evaluating solitary pulmonary nodules.
Chest, 117 (2000), pp. 1049-1054
[2]
EM Horrow, A Wajdy, J Blum, T Harkin, S Gasparini, DJ Addrizzo-Harris, et al.
The utility of transbronchial needle aspiration in the staging of bronchogenic carcinoma.
Am J Respir Crit Care Med, 161 (2000), pp. 601-607
[3]
N Shinagawa, K Yamazaki, Y Onodera, K Miyasaka, E Kikuchi, H Dosaka Akita, et al.
CT-guided transbronchial biopsy using an ultrathin bronchoscope with virtual bronchoscopic navigation.
Chest, 125 (2004), pp. 1138-1143
[4]
K Yasufuku, M Chiyo, Y Sekine, P Chajed, K Shibuya, T Iizasa, et al.
Realtime endobronchial ultrasound-guided transbronchial needle aspiration of mediastinal and hilar lymph nodes.
Chest, 126 (2004), pp. 122-128
[5]
F Herth, HD Becker, A Ernst.
Conventional vs endobronchial ultrasound guided transbronchial needle aspiration: a randomized trial.
Chest, 125 (2004), pp. 322-325
[6]
TR Gildea, PJ Mazzone, D Karnak, M Meziane, A Mehta.
Electromagnetic navigation diagnostic bronchoscopy.
Am J Respir Crit Care Med, 174 (2006), pp. 982-989
[7]
Y Schwarz, J Greif, HD Becker, A Ernst, A Mehta.
Real-time electromagnetic navigation bronchoscopy to peripheral lung lesions using overlaid CT images.
Chest, 129 (2006), pp. 988-994
Copyright © 2007. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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