{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T12:36:50Z","timestamp":1790167010954,"version":"4.1.0"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003The aim of the study is to analyze the effect of multiple punctures in computed tomography (CT)-guided microcoil localization of pulmonary nodules with other risk factors for common complications.<\/jats:p><jats:p>\n          Methods\u2003Consecutive patients who underwent CT-guided microcoil localization and subsequent video-assisted thoracoscopic surgery (VATS) between January 2020 and February 2021 were enrolled. Nodules successfully located after only one puncture were defined as the single puncture group, and nodules requiring two or more punctures were defined as the multiple puncture group. Binary logistic regression analysis was performed to assess the relationship between the number of punctures and pneumothorax and intrapulmonary hemorrhage.<\/jats:p><jats:p>\n          Results\u2003A total of 121 patients were included. There were 98 (68.1%) pulmonary nodules in the single puncture group compared with 46 (31.9%) nodules in the multiple puncture group. The frequencies of pneumothorax and intrapulmonary hemorrhage were higher in the multiple puncture group than in the single puncture group (p\u2009=\u20090.019 and &lt;0.001, respectively). Binary logistic regression demonstrated that independent risk factors for developing pneumothorax included lateral positioning of the patient (p\u2009&lt;\u2009.001) and prone positioning (p\u2009=\u20090.014), as well as multiple punctures (p\u2009=\u20090.013). Independent risk factors for intrapulmonary hemorrhage included the distance between the distal end of the coil and the surface of the pleura (p\u2009=\u20090.033), multiple punctures (p\u2009=\u20090.003), and passage through the pulmonary vasculature (p\u2009&lt;\u20090.001).<\/jats:p><jats:p>\n          Conclusion\u2003Multiple punctures resulted in an increased incidence of pneumothorax and intrapulmonary hemorrhage compared with single puncture during CT-guided microcoil localization of pulmonary nodules and were independently associated with both pneumothorax and intrapulmonary hemorrhage.<\/jats:p>","DOI":"10.1055\/s-0041-1736244","type":"journal-article","created":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T00:04:04Z","timestamp":1640736244000},"page":"566-572","source":"Crossref","is-referenced-by-count":6,"title":["Computed Tomography\u2013Guided Microcoil Localization of Pulmonary Nodules: Effects of Multiple Punctures"],"prefix":"10.1055","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8933-129X","authenticated-orcid":false,"given":"Ye","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Interventional Treatment, First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianli","family":"An","sequence":"additional","affiliation":[{"name":"Department of Interventional Treatment, First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zibo","family":"Zou","sequence":"additional","affiliation":[{"name":"Department of Interventional Treatment, First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanchao","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Interventional Treatment, First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingpeng","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Interventional Treatment, First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuo","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Interventional Treatment, First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongtao","family":"Niu","sequence":"additional","affiliation":[{"name":"Department of Interventional Treatment, First Hospital of 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study","volume":"55","author":"L Liu","year":"2014","journal-title":"Acta Radiol"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1378\/chest.115.2.563","article-title":"Video-assisted thoracoscopic surgery for small indeterminate pulmonary nodules: indications for preoperative marking","volume":"115","author":"K Suzuki","year":"1999","journal-title":"Chest"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.jtcvs.2014.08.055","article-title":"Preoperative computed tomography-guided microcoil localization of small peripheral pulmonary nodules: a prospective randomized controlled trial","volume":"149","author":"R J Finley","year":"2015","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"04","key":"ref6","first-page":"606","article-title":"Thoracoscopic resection of suspected metastatic pulmonary nodules after microcoil localization technique: a prospective study","volume":"58","author":"W Hajjar","year":"2017","journal-title":"J Cardiovasc Surg (Torino)"},{"issue":"09","key":"ref7","first-page":"1580","article-title":"Computed tomography guided microcoil localization for pulmonary small nodules and ground-glass opacity prior to thoracoscopic resection","volume":"7","author":"X Sui","year":"2015","journal-title":"J Thorac Dis"},{"issue":"10","key":"ref8","doi-asserted-by":"crossref","first-page":"5674","DOI":"10.1007\/s00330-020-06954-y","article-title":"CT-guided microcoil localization for pulmonary nodules before VATS: a retrospective evaluation of risk factors for pleural marking failure","volume":"30","author":"Y Xu","year":"2020","journal-title":"Eur Radiol"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.chest.2016.09.017","article-title":"Comparative effectiveness and safety of preoperative lung localization for pulmonary nodules: a systematic review and meta-analysis","volume":"151","author":"C H Park","year":"2017","journal-title":"Chest"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1007\/s11547-019-01077-x","article-title":"Computed tomography-guided microcoil placement for localizing small pulmonary nodules before uniportal video-assisted thoracoscopic resection","volume":"125","author":"M Refai","year":"2020","journal-title":"Radiol Med (Torino)"},{"issue":"10","key":"ref11","doi-asserted-by":"crossref","first-page":"1423","DOI":"10.1016\/j.jvir.2018.01.787","article-title":"Video-assisted thoracic surgery resection without intraoperative fluoroscopy after CT-guided microcoil localization of peripheral pulmonary nodules","volume":"29","author":"J K Lempel","year":"2018","journal-title":"J Vasc Interv Radiol"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1053\/j.ro.2013.03.013","article-title":"Subsolid pulmonary nodule management and lung adenocarcinoma classification: state of the art and 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tomography-guided localization of lung nodules","volume":"68","author":"Z D Zhang","year":"2020","journal-title":"Thorac Cardiovasc Surg"},{"issue":"03","key":"ref17","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1177\/0284185115576047","article-title":"CT findings after lipiodol marking performed before video-assisted thoracoscopic surgery for small pulmonary nodules","volume":"57","author":"H Miura","year":"2016","journal-title":"Acta Radiol"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.suronc.2020.02.001","article-title":"A safe and novel method for video-assisted thoracic surgery preoperative localization of small pulmonary nodules by using ZT medical glue (2-octyl cyanoacrylate)","volume":"33","author":"B Wang","year":"2020","journal-title":"Surg Oncol"},{"issue":"03","key":"ref19","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1097\/01.sla.0000137132.01881.57","article-title":"Peripheral lung nodules: fluoroscopically guided video-assisted thoracoscopic resection after computed tomography-guided localization using platinum microcoils","volume":"240","author":"T I Powell","year":"2004","journal-title":"Ann Surg"},{"issue":"09","key":"ref20","doi-asserted-by":"crossref","first-page":"6539","DOI":"10.1007\/s00330-021-07772-6","article-title":"Simultaneous preoperative computed tomography-guided microcoil localizations of multiple pulmonary nodules","volume":"31","author":"L Hu","year":"2021","journal-title":"Eur Radiol"},{"issue":"01","key":"ref21","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1186\/s12890-021-01393-x","article-title":"The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before video-assisted thoracic surgery","volume":"21","author":"Y Xu","year":"2021","journal-title":"BMC Pulm Med"},{"issue":"05","key":"ref22","doi-asserted-by":"crossref","first-page":"2676","DOI":"10.21037\/jtd.2018.04.87","article-title":"High-resolution 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Radiol"},{"issue":"01","key":"ref25","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1007\/s11547-020-01211-0","article-title":"Pneumothorax and pulmonary hemorrhage after CT-guided lung biopsy: incidence, clinical significance and correlation","volume":"126","author":"V Sabatino","year":"2021","journal-title":"Radiol Med (Torino)"},{"issue":"11","key":"ref26","doi-asserted-by":"crossref","first-page":"4682","DOI":"10.21037\/jtd.2019.10.60","article-title":"Preoperative computed tomography-guided pulmonary nodule localization augmented by laser angle guide assembly","volume":"11","author":"S C Tsai","year":"2019","journal-title":"J Thorac Dis"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.ijsu.2018.01.014","article-title":"Reevaluation of the efficacy of preoperative computed tomography-guided hook wire localization: a retrospective analysis","volume":"51","author":"F Yao","year":"2018","journal-title":"Int J Surg"}],"container-title":["The 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