Endobronchial removal of the high-risk osseous foreign bodies with evaluation and planning by virtual navigation system

Haidong Huang; Moaad Mohamed Seif; Jie Ren; Hui Shi; Xiaping Shen; Qing Wang; Jun Yang; Yuan Zhang; Yunye Ning; Yuguang Yang; Paul Zarogoulidis; Kosmas Tsakiridis; Wolfgang Hohenforst-Schmidt; J Francis Turner; Simoff Michael; Qiang Li; Lutz Freitag; Varvara Fyntanidou; Christoforos Kosmidis; Konstantinos Romanidis; Panagoula Oikonomou; Konstantinos Sapalidis; Chong Bai

doi:10.1016/j.rmcr.2019.100952

Endobronchial removal of the high-risk osseous foreign bodies with evaluation and planning by virtual navigation system

Respir Med Case Rep. 2019 Oct 18:28:100952. doi: 10.1016/j.rmcr.2019.100952. eCollection 2019.

Authors

Haidong Huang¹, Moaad Mohamed Seif², Jie Ren³, Hui Shi¹, Xiaping Shen⁴, Qing Wang¹, Jun Yang⁵, Yuan Zhang⁶, Yunye Ning¹, Yuguang Yang⁷, Paul Zarogoulidis⁸, Kosmas Tsakiridis⁹, Wolfgang Hohenforst-Schmidt¹⁰, J Francis Turner¹¹, Simoff Michael¹², Qiang Li¹³, Lutz Freitag¹⁴, Varvara Fyntanidou¹⁵, Christoforos Kosmidis⁸, Konstantinos Romanidis⁸, Panagoula Oikonomou⁸, Konstantinos Sapalidis⁸, Chong Bai¹

Affiliations

¹ Department of Respiratory & Critical Care Medicine, Changhai Hospital, The Second Military Medical University, Shanghai, China.
² Department of Pulmonology, Djiboutian Military Hospital, Djibouti City, Djibouti.
³ Department of Respiration, The First People's Hospital of Xinjiang, KashgarArea, Kashgar, Xinjiang, China.
⁴ Department of Radiology, Changhai Hospital, Second Military Medical University, Shanghai, China.
⁵ Department of Laboratory & Pathology, No. 905 Hospital, The Second Military Medical University, Shanghai, China.
⁶ Department of Ophthamology, Changhai Hospital, Second Military Medical University, Shanghai, China.
⁷ Department of Anesthesiology, Changhai Hospital, The Second Military Medical University, Shanghai, China.
⁸ 3rdSurgery Department, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
⁹ Thoracic Surgery Department, "Interbalkan" European Medical Center, Thessaloniki, Greece.
¹⁰ Sana Clinic Group Franken, Department of Cardiology / Pulmonology / Intensive Care / Nephrology, "Hof" Clinics, University of Erlangen, Hof, Germany.
¹¹ University of Tennessee Graduate School of Medicine, Department of Medicine, Knoxville, TN, USA.
¹² Department of Pulmonary and Critical Care Medicine, Henry Ford Hospital, Detroit, MI, Detroit, USA.
¹³ The Diagnostic and Therapeutic Center of Respiratory Diseases, Shanghai East Hospital, Tongji University, Shanghai, China.
¹⁴ Department of Interventional Pneumology, Ruhrlandklinik, University Hospital Essen, University of Essen-Duisburg, Essen, Germany.
¹⁵ Anesthesiology Department, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Abstract

We report herein on two cases where high-risk osseous foreign bodies that incarcerated or penetrated the bronchial wall. The foreign bodies were unable to be removed via flexible bronchoscope (FB), with the foreign bodies close to the pulmonary artery and aortic artery. After preoperative evaluation and planning with the virtual bronchoscopic navigation (VBN) system, the airway foreign bodies were extracted effectively and safely using advanced therapeutic endoscopic technique by rigid bronchoscope (RB), thus avoiding the surgical thoracotomy.

Keywords: Artery; Foreign body; High risk; LungPoint; Removal; Rigid bronchoscope; Virtual bronchoscopic navigation.

Publication types

Case Reports