NAVIGATE 24-Month Results: Electromagnetic Navigation Bronchoscopy for Pulmonary Lesions at 37 Centers in Europe and the United States. (Record no. 819)

MARC details
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fixed length control field 03712nam a22003737a 4500
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fixed length control field 220221s20212021 xxu||||| |||| 00| 0 eng d
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.jtho.2021.12.008 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S1556-0864(21)03414-6 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 34973418
245 ## - TITLE STATEMENT
Title NAVIGATE 24-Month Results: Electromagnetic Navigation Bronchoscopy for Pulmonary Lesions at 37 Centers in Europe and the United States.
251 ## - Source
Source Journal of Thoracic Oncology: Official Publication of the International Association for the Study of Lung Cancer. 2021 Dec 29
252 ## - Abbreviated Source
Abbreviated source J Thorac Oncol. 2021 Dec 29
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Journal name Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer
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Year 2021
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Manufacturer FY2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2021 Dec 29
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
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Date added to catalog 2022-02-21
501 ## - WITH NOTE
Local holdings Available online through MWHC library: 2006 - present
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: Despite a heterogeneous cohort and regional differences in procedural techniques, ENB demonstrates low complications and a 67.8% diagnostic yield while allowing biopsy, staging, fiducial placement, and dye marking in a single procedure. Copyright (c) 2021. Published by Elsevier Inc.
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Abstract INTRODUCTION: Electromagnetic navigation bronchoscopy (ENB) is a minimally invasive, image-guided approach to access lung lesions for biopsy or localization for treatment. However, no studies have reported prospective 24-month follow-up from a large, multinational, generalizable cohort. This study evaluated ENB safety, diagnostic yield, and usage patterns in an unrestricted, real-world observational design.
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Abstract METHODS: The NAVIGATE single-arm, pragmatic cohort study (NCT02410837) enrolled subjects at 37 academic and community sites in seven countries with prospective 24-month follow-up. Subjects underwent ENB using the superDimension navigation system versions 6.3 to 7.1. The prespecified primary end point was procedure-related pneumothorax requiring intervention or hospitalization.
520 ## - SUMMARY, ETC.
Abstract RESULTS: A total of 1388 subjects were enrolled for lung lesion biopsy (1329; 95.7%), fiducial marker placement (272; 19.6%), dye marking (23; 1.7%), or lymph node biopsy (36; 2.6%). Concurrent endobronchial ultrasound-guided staging occurred in 456 subjects. General anesthesia (78.2% overall, 56.6% Europe, 81.4% United States), radial endobronchial ultrasound (50.6%, 4.0%, 57.4%), fluoroscopy (85.0%, 41.7%, 91.0%), and rapid on-site evaluation use (61.7%, 17.3%, 68.5%) differed between regions. Pneumothorax and bronchopulmonary hemorrhage occurred in 4.7% and 2.7% of subjects, respectively (3.2% [primary end point] and 1.7% requiring intervention or hospitalization). Respiratory failure occurred in 0.6%. The diagnostic yield was 67.8% (range: 61.9%-70.7%; 55.2% Europe, 69.8% United States). Sensitivity for malignancy was 62.6%. Lung cancer clinical stage was I to II in 64.7% (55.3% Europe, 65.8% United States).
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Language note English
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Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
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Institution MedStar Franklin Square Medical Center
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Department Angelos Center for Lung Disease
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Medline publication type Journal Article
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Local Authors Krimsky, William S
790 ## - Authors
All authors Arenberg DA, Bansal S, Bezzi M, Bhadra K, Bowling MR, Christensen M, Flandes J, Folch EE, Gildea TR, Hogarth DK, Hood KL, Khandhar SJ, Krimsky WS, Lamprecht B, Lau K, LeMense GP, Lin H, Mahajan AK, Mattingley JS, Murgu SD, Murillo BA, NAVIGATE Study Investigators, Nead MA, Pritchett MA, Singh J, Towe CW, Wolvers JJ
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.jtho.2021.12.008">https://dx.doi.org/10.1016/j.jtho.2021.12.008</a>
Public note https://dx.doi.org/10.1016/j.jtho.2021.12.008
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 02/21/2022   34973418 34973418 02/21/2022 02/21/2022 Journal Article

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