지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 1,372 - 1,378 (7page)
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초록· 키워드
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Purpose: Anastomotic airway complications are a major cause of morbidity and mortality after lung transplantation (LTx). In this study, the authors identified types and clinical outcomes of airway complications after LTx.
Materials and Methods: All bronchial anastomotic complications were analyzed in a total of 94 LTx cases involving 90 recipients who underwent surgery between July 2006 and May 2014. Fifteen LTx cases (14 recipients) with incomplete medical records for fiberoptic bronchoscopy (FBS) and three cases underwent heart-lung transplantation (HLT) were excluded. Postoperative FBS at 24–48 hours, 1, 3, 6, and 12 months, and then yearly after the transplantation were performed.
Results: A total of 76 LTx cases (75 recipients) were analyzed. The mean age of the recipients was 49.55 years (range, 18–71 years), and 38 (49.4%) were male. Twenty-one out of 76 cases (27.6%) experienced early anastomotic complications, and 12 (15.8%) presentedlate anastomotic complications. The early anastomotic airway complications presented in various forms: stenosis, 1 case; narrowing, 1; necrosis & dehiscence, 3; fistula, 4; granulation, 10; and infection, 2. Late complications almost entirely presented in the form of bronchial stenosis; five recipients showed stenosis at the anastomosis site, and one of them showed improvement afterballooning. Five others were found to have stenosis at the bronchus intermedius, distal to the anastomosis site. Three of these patients showed improvement after ballooning or bronchoplasty.
Conclusion: By serial surveillance via FBS after LTx, we detected anastomotic airway complications in 42.9% of cases, which were successfully managed with improved clinical outcomes.
목차
등록된 정보가 없습니다.
참고문헌 (7)
참고문헌 신청
Aguilar-Guisado M / 2007 / Pneumonia after lung transplantation in the RESITRA Cohort:a multicenter prospective study / Am J Transplant 7 : 1989 ~ 1996
Christie JD / 2011 / The Registry of the International Society for Heart and Lung Transplantation: Twenty-eighth Adult Lung and Heart-Lung Transplant Report--2011 / J Heart L
Moreno P / 2008 / Incidence, management and clinical outcomes of patients with airway complications following lung transplantation / Eur J Cardiothorac Surg 34 : 1198 ~ 1205
Murthy SC / 2007 / Impact of anastomotic airway complications after lung transplantation / Ann Thorac Sur 84 : 401 ~ 409
Murthy SC / 2010 / Anastomotic airway complications after lung transplantation / Curr Opin Organ Transplant 15 : 582 ~ 587
Christie JD / 2011 / The Registry of the International Society for Heart and Lung Transplantation: Twenty-eighth Adult Lung and Heart-Lung Transplant Report--2011 / J Heart L
Moreno P / 2008 / Incidence, management and clinical outcomes of patients with airway complications following lung transplantation / Eur J Cardiothorac Surg 34 : 1198 ~ 1205
Murthy SC / 2007 / Impact of anastomotic airway complications after lung transplantation / Ann Thorac Sur 84 : 401 ~ 409
Murthy SC / 2010 / Anastomotic airway complications after lung transplantation / Curr Opin Organ Transplant 15 : 582 ~ 587
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