case_images: PMC11179493_01
case_images: (a) Trismus limiting oral intubation and (b) 6.5 ETT through nare and connected to Ion adapter.. ETT, endotracheal tube.
case_images: 10.1177_17534666241259369-fig1.jpg
case_images: PMC11179493_01_10.1177_17534666241259369-fig1.jpg
case_images: fig1-17534666241259369
case_images: Tomography (PET) avid left upper lobe (LUL) pulmonary nodules. The patient had severe trismus [Figure 1(a)], which would potentially inhibit intubation through the oropharynx with a large ETT. A 6.5 cuffed ETT was placed into the right nostril under fiberoptic guidance [Figure 1(b)].
case_images: PMC11179493_02
case_images: (a) and (b) PET/CT scan showing pet +LUL nodule and station 5 adenopathy. LUL, left upper lobe. (c) and (d) Fluoroscopic image of Ion needle in station 5 and lung window view of lymph node station 5.. PET/CT, Positron Emission Tomography/Computed Tomography.
case_images: 10.1177_17534666241259369-fig2.jpg
case_images: PMC11179493_02_10.1177_17534666241259369-fig2.jpg
case_images: fig2-17534666241259369
case_images: A 67-year-old female with a 60 pack-year smoking history presented with a PET avid LUL nodule and level 5 adenopathy [Figure 2(a) and (b)]. The catheter was then advanced in the direction of lymph node station 5 under fluoroscopic guidance [Figure 2(c)]. The catheter was parked against an airway wall about 7 mm away from the lymph node [Figure 2(d)].
case_images: PMC11179493_03
case_images: (a) PET + nodule behind LUL bronchus stump. (b) Ion catheter visualized with another bronchoscope view. (c) and (d) Virtual view of PET + nodule behind airway stump.. LUL, left upper lobe.
case_images: 10.1177_17534666241259369-fig3.jpg
case_images: PMC11179493_03_10.1177_17534666241259369-fig3.jpg
case_images: fig3-17534666241259369
case_images: This mass was located behind the LUL bronchus stump [Figure 3(a)]. The IRB catheter was parked against the LUL stump [Figure 3(b)-(d)].