| Bronchial dehiscence after lung transplantation: correlation of CT findings with clinical outcome. | |
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MedLine Citation:
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PMID: 8638016 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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F J Schlueter; J W Semenkovich; H S Glazer; J M Arcidi; E P Trulock; G A Patterson |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Radiology Volume: 199 ISSN: 0033-8419 ISO Abbreviation: Radiology Publication Date: 1996 Jun |
Date Detail:
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Created Date: 1996-07-11 Completed Date: 1996-07-11 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0401260 Medline TA: Radiology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 849-54 Citation Subset: AIM; IM |
Affiliation:
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Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO 63110, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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