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This study is a retrospective multi-center chart review of patients who underwent an attempted biopsy of one or more pulmonary lesion(s) with the Ion Endoluminal System with the aim of assessing the overall performance of the system.
This study is a retrospective multi-center chart review of patients who underwent an attempted biopsy of one or more pulmonary lesion(s) with the Ion Endoluminal System with the aim of assessing the overall performance of the system. The primary objectives of the study will be performance (evaluated by diagnostic yield and sensitivity for malignancy) and safety (assessed by rate of pneumothoraces and bleeding events).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Subjects with Ion Endoluminal sampling of pulmonary nodule | Subjects in which a pulmonary lesion biopsy was attempted or performed with the Ion Endoluminal System |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ion Endoluminal System | Device | Ion Endoluminal Procedure for pulmonary nodule |
|
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic yield | Diagnostic yield of the sample obtained through the bronchoscopy procedure, with diagnostic yield defined as (true positives + true negatives)/(total number of lesions biopsied) | Intra-operative through the one year follow up period |
| Sensitivity for malignancy | Sensitivity for malignancy of the sample obtained | Intra-operative through the one year follow up period |
| Pneumothorax | Incidence of all pneumothoraces related to the Ion procedure | Intra-operative |
| Bleeding | Incidence of bleeding in which an intervention was required, related to the Ion procedure. Interventions include: administration of cold saline, vasoactive substances, thrombin, or similar in response to active bleeding; use of bronchial/balloon blocker; use of bronchial artery embolization or resuscitation or ICU admission. | Intra-operative |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events | All adverse events related to the Ion procedure | Intra-operative through 30 days |
| Conversion to alternate approach or termination of procedure | Rate of procedures converted to an alternative approach or terminated. Conversion is defined as a change in the procedural approach (either a different technology [ex., electromagnetic navigational bronchoscopy] or a different procedure [ex., CT-guided transthoracic needle aspiration]) after the Ion catheter has entered the endotracheal tube. Termination is defined as prematurely ending the procedure after the Ion catheter has entered the endotracheal tube but before the biopsy sample has been obtained. |
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Inclusion Criteria:
Exclusion Criteria:
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Subjects who underwent an Ion Endoluminal Procedure with a pulmonary nodule, 18 years or older
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| Name | Affiliation | Role |
|---|---|---|
| Glen Bouder, MD | Winchester Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Winchester Medical Center | Winchester | Virginia | 22601 | United States |
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| ID | Term |
|---|---|
| D008175 | Lung Neoplasms |
| ID | Term |
|---|---|
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| Intra-operative |
| D008171 |
| Lung Diseases |
| D012140 | Respiratory Tract Diseases |