ArticleCureus2025
Dual Indocyanine Green (ICG)-Soaked Coil Placement for the Precise Localization of a Non-subpleural Peripheral Lung Nodule: A Modified Technique in a Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
Accurate localization of small pulmonary nodules is essential for successful minimally invasive resection. Conventional preoperative localization techniques, such as placement of indocyanine green (ICG)-soaked coils, are optimized for nodules in close proximity to the pleura. We report on a novel dual-coil approach in a 45-year-old non-smoking patient with a PET-avid lesion, incidentally discovered during a trauma workup. The 9 mm right upper lobe lesion was located peripherally but not subpleural, with partial endobronchial and central orientation. Using flexible bronchoscopy, two ICG-soaked embolization coils were deployed: one distally within the segment to mark the boundary, and one proximally, just adjacent to the lesion. This approach enabled the three-dimensional bracketing of the nodule, allowing for precise anatomical resection via uniportal video-assisted thoracoscopic surgery (VATS) without the need for thoracotomy. This technique shows promise in expanding the utility of fluorescence-guided thoracoscopic resection by allowing localization of small, centrally oriented peripheral lung nodules that are not amenable to traditional single-coil marking.
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