Table 1. The 6 consensus opinions reached by the panel.
Recommendations | Evidence level | Recommendation grade |
---|---|---|
Route 1: Percutaneous ICG injection | ||
ICG percutaneous injection under CT guidance | High | Strong |
Route 2: ICG injection via the vessels of the target lung segment | ||
Blocking the vessels of the target lung segment and injecting ICG via a peripheral/central vein can reveal the intersegmental plane by reverse staining | Middle | Strong |
In patients with bronchial stenosis or poor lung dilation/collapse, the vascular reverse staining method is preferred to display the intersegmental plane compared with the dilation and collapse method | High | Strong |
Because of the short development time when using the vascular reverse staining method, the intersegmental plane boundary can be marked quickly or repeatedly staining with repeated injections of ICG; the pulmonary veins can also be clamped to extend the staining duration appropriately |
Middle | Strong |
Route 3: ICG injection via airway approach | ||
Bronchoscopic guidance of ICG injection into the target lung segment via the bronchus to stain the target lung segment | Middle | Strong |
ENB allows ICG to be injected and positioned around the target lesion through an ultra-thin bronchoscope | Middle | Strong |
ICG, indocyanine green; CT, computed tomography; ENB, electromagnetic navigation bronchoscopy.