Document Detail


Bronchial dehiscence after lung transplantation: correlation of CT findings with clinical outcome.
MedLine Citation:
PMID:  8638016     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To determine whether computed tomography (CT) can help predict which patients will require surgical or bronchoscopic intervention during healing of bronchial anastomotic dehiscence after lung transplantation. MATERIALS AND METHODS: The authors followed up 25 bronchoscopically proved dehiscent anastomoses through healing in 19 patients who underwent lung transplantation. CT findings were correlated with bronchoscopic results and clinical outcome. RESULTS: A bronchial defect and extraluminal air were initially present at CT in all 25 dehiscent anastomoses. Of 12 bronchial defects less than or equal to 4 mm, only one required intervention during healing (P < .05). Of 12 bronchial defects greater than 4 mm, six required intervention during healing. Eight of nine dehiscences with a tiny or small amount of extraluminal air healed with conservative treatment. Of 16 dehiscences associated with a moderate to large amount of extraluminal air, nine were treated conservatively and six required therapeutic intervention. Three healing anastomoses required bronchial stent placement. One patient died in the perioperative period. CONCLUSION: In patients with small dehiscences ( < 4mm) and patients with a tiny or small amount of extraluminal air, the anastomosis tends to heal without sequela. When patients have larger amounts of extraluminal air or larger ( > 4mm) dehiscences at presentation, CT cannot help predict which patients will require intervention.
Authors:
F J Schlueter; J W Semenkovich; H S Glazer; J M Arcidi; E P Trulock; G A Patterson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  199     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-07-11     Completed Date:  1996-07-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  849-54     Citation Subset:  AIM; IM    
Affiliation:
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO 63110, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anastomosis, Surgical
Bronchi / surgery*
Bronchography* / instrumentation,  methods
Bronchoscopy
Female
Follow-Up Studies
Humans
Lung Transplantation / radiography*
Male
Middle Aged
Prognosis
Surgical Wound Dehiscence / radiography*
Tomography, X-Ray Computed* / instrumentation,  methods
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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