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Ann Thorac Surg 2008;85:S797-S801. doi:10.1016/j.athoracsur.2007.11.052
© 2008 The Society of Thoracic Surgeons
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Todd S. Weiser
Kevin Hyman
Jaime Yun
Virginia Litle
Scott J. Swanson
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Right arrow Minimally invasive surgery

Supplement: The Minimally Invasive Thoracic Surgery Summit

Electromagnetic Navigational Bronchoscopy: A Surgeon’s Perspective

Todd S. Weiser, MD*, Kevin Hyman, MD, Jaime Yun, MD, Virginia Litle, MD, Cythinia Chin, MD, Scott J. Swanson, MD

Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, New York

* Address correspondence to Dr Weiser, Department of Cardiothoracic Surgery, Mount Sinai Medical Center, 1190 Fifth Ave, Box 1028, New York, NY—10029 (Email: todd.weiser{at}mountsinai.org).

Presented at the Minimally Invasive Thoracic Surgery Summit, New York, NY, June 8–9, 2007.

Diagnostic yield of flexible bronchoscopy is often limited by the size and location of the lesion of interest. Novel technologies have evolved that can improve the accuracy and expand the applicability of flexible bronchoscopy in rendering a tissue diagnosis for pulmonary nodules. One recent technical advance uses electromagnetic guidance to improve the ability of the bronchoscopist to navigate within the lung parenchyma as well as to localize and biopsy mediastinal pathology. We have gained a preliminary experience with navigational bronchoscopy using electromagnetic guidance to successfully biopsy peripheral lung lesions, place fiducial catheters to aid stereotactic radiotherapy, and to biopsy mediastinal lymph nodes in the staging of lung cancer. Not only will navigational bronchoscopy lead to improvements in the diagnostic yield of standard flexible bronchoscopy, but we envision potential therapeutic modalities that can be used this system.




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Invited Commentary
Ann. Thorac. Surg., October 1, 2008; 86(4): 1342 - 1342.
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