Dr. Sandeep Bansal
Interventional Pulmonologist
Penn Highlands – DuBois
DuBois, Pennsylvania
Patient Information: 71 y/o, M
Scan Protocol: Veran Inspiration/Expiration CT Scan Protocol
Nodule: LUL 13mm
Target Motion: 5mm
Biopsy Results: Adenocarcinoma
Instruments Used: SPiN Access Catheter®, Always-On Tip Tracked® Serrated Forceps & SPiN Flex® 22ga Needle
Conclusion: Surgical Resection
“The SPiN Access Catheter® was extremely valuable during this case. The instrument allowed for a catheter-based approach, but with the added benefit of Always-On Tip Tracked® instruments to ensure we were in the nodule at the time of biopsy.”
Patient History
This 71-year-old male with a history of smoking was referred to Dr. Bansal in order to biopsy a nodule within the LUL. The patient underwent a bronchoscopy procedure 18 months prior. Pathology findings were reported as negative. The nodule was continually monitored post procedure. Over the course of a year, the nodule became denser, but did not increase in size. As a result, the patient returned despite an intermediate probability of malignancy due to the previous findings.
Planning
Using the SPiN Planning® software, Dr. Bansal segmented a nodule located in the LUL. The target was 13mm in size and was moving 5mm between respiratory phases. The airway to target was approximately 50mm.
Procedure
Dr. Bansal started the procedure with navigation. He relied on Always-On Tip Tracked® instruments while navigating the lung space. Dr. Bansal was able to successfully navigate to the target in the LUL while using the SPiN Access Catheter®. Once in place, he then utilized tip tracked Serrated Forceps and SPiN Flex® 22ga needle to obtain biopsies. After obtaining multiple biopsies, Dr. Bansal placed fiducials within the area of interest. Final results from pathology revealed that collected samples were morphologically consistent with adenocarcinoma.
