131 222

Cited 7 times in

Anastomotic Airway Complications after Lung Transplantation

DC FieldValueLanguage
dc.contributor.author김송이-
dc.contributor.author백효채-
dc.contributor.author장윤수-
dc.contributor.author조은나-
dc.contributor.author함석진-
dc.date.accessioned2016-02-04T11:43:50Z-
dc.date.available2016-02-04T11:43:50Z-
dc.date.issued2015-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/141071-
dc.description.abstractPURPOSE: 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%) presented late 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 after ballooning. 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.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1372~1378-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAnalysis of Variance-
dc.subject.MESHAnastomosis, Surgical/adverse effects*-
dc.subject.MESHAnastomosis, Surgical/methods-
dc.subject.MESHBronchi/blood supply-
dc.subject.MESHBronchi/physiopathology-
dc.subject.MESHBronchi/surgery*-
dc.subject.MESHBronchial Diseases/epidemiology-
dc.subject.MESHBronchial Diseases/etiology*-
dc.subject.MESHBronchial Diseases/physiopathology-
dc.subject.MESHBronchoscopy-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHLung Transplantation*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPostoperative Complications/epidemiology-
dc.subject.MESHPostoperative Complications/etiology*-
dc.subject.MESHPostoperative Complications/physiopathology-
dc.subject.MESHPrevalence-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTreatment Outcome-
dc.titleAnastomotic Airway Complications after Lung Transplantation-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorEun Na Cho-
dc.contributor.googleauthorSuk Jin Haam-
dc.contributor.googleauthorSong Yee Kim-
dc.contributor.googleauthorYoon Soo Chang-
dc.contributor.googleauthorHyo Chae Paik-
dc.identifier.doi10.3349/ymj.2015.56.5.1372-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00626-
dc.contributor.localIdA01846-
dc.contributor.localIdA03456-
dc.contributor.localIdA03880-
dc.contributor.localIdA04335-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid26256982-
dc.subject.keywordLung transplantation-
dc.subject.keywordpostoperative complications-
dc.subject.keywordsurgical anastomosis-
dc.contributor.alternativeNameKim, Song Yi-
dc.contributor.alternativeNamePaik, Hyo Chae-
dc.contributor.alternativeNameChang, Yoon Soo-
dc.contributor.alternativeNameCho, Eun Na-
dc.contributor.alternativeNameHaam, Seok Jin-
dc.contributor.affiliatedAuthorKim, Song Yi-
dc.contributor.affiliatedAuthorPaik, Hyo Chae-
dc.contributor.affiliatedAuthorChang, Yoon Soo-
dc.contributor.affiliatedAuthorCho, Eun Na-
dc.contributor.affiliatedAuthorHaam, Seok Jin-
dc.rights.accessRightsfree-
dc.citation.volume56-
dc.citation.number5-
dc.citation.startPage1372-
dc.citation.endPage1378-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.56(5) : 1372-1378, 2015-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.