Cost-effectiveness of hydrogel plugs in CT-guided lung biopsies

Marco-Doménech, S.F.; Fernández-García, Pilar; Navarro-Ballester, A.; Cifrián-Pérez, Manuel; Escobar-Valero, Á.; Ibáñez-Gual, M.V.

doi:10.1016/j.rxeng.2019.01.007

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…Patients who require chest tube insertion after biopsy are more likely to develop respiratory failure requiring mechanical ventilation and have longer lengths of hospital stay [15]. A recent study by Marco-Domenech et al observed that using hydrogel plug for inpatient lung biopsies is cost-effective as it reduces pneumothorax rates and length of hospital stay [16]. To our knowledge, our study is the first in the literature to demonstrate that post-biopsy observation time can be safely reduced with the use of hydrogel plugs and result in significant cost savings.…”

Section: Discussionmentioning

confidence: 99%

Cost Analysis: Use of Hydrogel Plug Tract Sealant System for CT-Guided Lung Biopsy can Reduce Patient Recovery Time and Cost

Lee

2021

AJBSR

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Section: Discussionmentioning

confidence: 99%

Cost Analysis: Use of Hydrogel Plug Tract Sealant System for CT-Guided Lung Biopsy can Reduce Patient Recovery Time and Cost

Lee

2021

AJBSR

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“…All the patients signed a written informed consent before undergoing the plug deployment procedure. Ethics committee approval was not requested for several reasons: the device is routinely used by radiologists to control haemostasis and aerostasis in patients undergoing a lung biopsy, its effectiveness has been already demonstrated [ 24 , 25 , 26 ], and, according to the Food and Drug Administration, this device is indicated to mark lung nodules for visualization during surgical resection [ 27 ].…”

Section: Methodsmentioning

confidence: 99%

Easy Intra-Operative Localization of Pulmonary Nodules during Uniportal Video-Assisted Thoracoscopy: Experience with Hydrogel Plugs at Our Institution

et al. 2022

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Background: The diffusion of lung cancer screening programs has increased the detection of both solid and ground-glass opacity (GGO) sub-centimetric lesions, leading to the necessity for histological diagnoses. A percutaneous CT-guided biopsy may be challenging, thus making surgical excision a valid diagnostic alternative. CT-guided hydrogel plug deployment (BioSentry®) was recently proposed to simplify intraoperative nodule localization. Here, we report our initial experience. Methods: We evaluated 62 patients with single, small, peripheral, non-subpleural pulmonary GGO that was suspicious for cancer. All lesions were preoperatively marked, using CT-guidance, with a hydrogel plug (BioSentry®). Then, a uniportal video-assisted thoracoscopy (uniVATS) wedge resection was performed. If cancer was confirmed at the frozen section, a major lung resection was then performed. The study’s end points were the rates of intraoperative localization and of successful resection. Results: The hydrogel plug was correctly placed in 54 of the 62 cases, leading to an effective resection of the target lesion. In the remaining eight cases, the plug was displaced, and so the identification of pleural erosions due to the previous percutaneous procedure guided the resection. The uniVATS resection success rate was 98.3%. Conclusions: CT-guided hydrogel plug placement allowed for the successful detection of lung GGOs and resection with the uniVATS approach. This device allowed us to obtain lung cancer diagnoses and successfully treat 85.4% of cases.

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Cost-effectiveness of hydrogel plugs in CT-guided lung biopsies

Cited by 2 publications

References 17 publications

Cost Analysis: Use of Hydrogel Plug Tract Sealant System for CT-Guided Lung Biopsy can Reduce Patient Recovery Time and Cost

Cost Analysis: Use of Hydrogel Plug Tract Sealant System for CT-Guided Lung Biopsy can Reduce Patient Recovery Time and Cost

Easy Intra-Operative Localization of Pulmonary Nodules during Uniportal Video-Assisted Thoracoscopy: Experience with Hydrogel Plugs at Our Institution

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