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Related Experiment Video

Updated: Jan 18, 2026

Author Spotlight: Expanding Interventional Pulmonology Research with Robotic-Assisted Bronchoscopy

Author Spotlight: Expanding Interventional Pulmonology Research with Robotic-Assisted Bronchoscopy

Published on: July 19, 2024

AIM (Anticipate/Adjust, Image, Manage) to Prevent Bleeding During Robotically-Assisted Bronchoscopic Ablation.

Sebastian Fernandez-Bussy¹, Anna Kornafeld², Bryan Husta¹

¹Mayo Clinic Division of Pulmonary and Critical Care Medicine Jacksonville Florida USA.

Respirology Case Reports

|September 8, 2025

Summary

Robotically assisted bronchoscopic ablation offers a new lung nodule treatment. A stepwise approach, AIM (Anticipate/Adjust, Image, Manage), minimizes bleeding risks during this procedure.

Keywords:

carcinoid lung nodule pulsed electrical field ablation robotically‐assisted bronchoscopic ablation severe bleeding prevention

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Last Updated: Jan 18, 2026

Author Spotlight: Expanding Interventional Pulmonology Research with Robotic-Assisted Bronchoscopy

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Published on: July 19, 2024

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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

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Area of Science:

Interventional Pulmonology
Minimally Invasive Surgery
Oncology

Background:

Lung nodule ablation is an emerging therapeutic option, though not yet standard care.
While generally safe, bleeding is a recognized complication of lung nodule ablation.
Robotically assisted bronchoscopic ablation presents a novel approach to treating lung nodules.

Purpose of the Study:

To present a stepwise strategy for preventing uncontrolled bleeding during robotically assisted bronchoscopic ablation.
To illustrate the AIM (Anticipate/Adjust, Image, Manage) protocol through case examples.

Main Methods:

The AIM protocol involves anticipating high-risk structures for bleeding and adjusting the ablation plan.
Utilizing cone beam CT imaging before and after ablation sessions to screen for bleeding.
Employing Fogarty balloon occlusion preemptively to manage potential bleeding events.

Main Results:

The presented cases demonstrate the successful application of the AIM protocol.
The stepwise approach aims to mitigate the risk of uncontrolled hemorrhage during the procedure.

Conclusions:

The AIM protocol provides a structured method to enhance safety in robotically assisted bronchoscopic ablation.
This approach can help select patients benefit from lung nodule ablation while minimizing bleeding complications.