Stent Angioplasty for a Kink in the Pulmonary Artery Anastomosis Soon After Living-Donor Lobar Lung Transplantation

Chen, Fengshi; Tazaki, Junichi; Shibata, Toshiya; Miwa, Soichi; Yamazaki, Kazuhiro; Ishii, Hisanari; Tanaka, Shōji; Fujinaga, Takuji; Bando, Toru; Date, Hiroshi

doi:10.1016/j.athoracsur.2011.05.049

Cited by 13 publications

(19 citation statements)

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“…Additional hand searching of conference proceedings, reference lists of included articles, and gray literature revealed an additional 4 citations [46][47][48][49] that satisfied the inclusion criteria. Ultimately, a total of 34 [6][7][8][9][10][11]15, full-text citations were included in the systematic review, of which 24 were case reports, 7,8,15,[23][24][25][27][28][29][30][31][32][35][36][37][38][40][41][42][43]45,[47][48][49] 8 were retrospective studies, 6,[9][10][11]33,34,39,46 and 2 were prospective studies. 26,44 For full-text eligibility, the unweighted κ was calculated to be 0.80 between the 2 independent reviewers.…”

Section: Resultsmentioning

confidence: 99%

Evaluating the Impact of Pulmonary Artery Obstruction After Lung Transplant Surgery: A Systematic Review and Meta-analysis

et al. 2020

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Background. Pulmonary artery obstruction is an uncommon but significant complication after lung transplantation. Although numerous reports have documented its occurrence, the hemodynamic parameters associated with its presentation and diagnostic considerations remain ill-defined. This systematic review summarizes evidence in the literature surrounding pulmonary artery obstruction after lung transplantation surgery. Methods. Databases were searched for all articles and abstracts reporting on pulmonary artery obstruction. Data collected included the number of patients studied, patient characteristics, incidences of pulmonary artery obstruction, and timing and imaging modality used for diagnosis. Results. Thirty-four full-text citations were included in this review. The point prevalence of pulmonary artery obstruction was 3.66%. The peak pulmonary artery velocity associated with obstruction was found to be 2.60 ± 0.58 m/s. The diameter of the obstructed pulmonary artery predictive of poor outcomes was noted to be 0.78 ± 0.40 cm. The majority of diagnoses were made in the late postoperative period using pulmonary angiogram and transesophageal echocardiography. Overall, 76% of patients (47 of 62) required emergent procedural reintervention, and 23% of patients (14 of 62) diagnosed with pulmonary artery obstruction died during their hospital stay. Conclusions. This systematic review underscores the importance of identifying pulmonary artery obstruction immediately after lung transplant surgery. The clinical implications of these results warrant the development of identification and management strategies for early detection of irregularities in pulmonary artery anastomosis in lung transplant patients.

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Section: Resultsmentioning

confidence: 99%

Evaluating the Impact of Pulmonary Artery Obstruction After Lung Transplant Surgery: A Systematic Review and Meta-analysis

et al. 2020

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“…Complications related to the surgical technique used occurred in only 1 patient. 5 This was caused by the abundant length of the PA after anastomosis and not by the caliber difference. The length of the PA should be carefully determined in addition to the caliber difference.…”

Section: Discussionmentioning

confidence: 99%

Various techniques for anastomosis of pulmonary arteries with size mismatch during lung transplantation

et al. 2021

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Video clip is available online. Vessels of different calibers are often encountered when anastomosing pulmonary arteries (PAs) during lung transplantation. In living-donor lobar lung transplantation (LDLLT), grafts are taken from the donor's lower lobes, and pulmonary anastomosis sometimes requires adjustment of the caliber of the blood vessels due to mismatch between the donor's and the recipient's PAs. Among the solutions to this problem, as we previously reported, is donor graft PA plasty using an autopericardial patch to preserve the donor's lingular branch if the graft's PA has a diagonal cut line. 1,2 Other surgical techniques include using a tack suture or direct plication of the recipient's large PA. In cadaveric lung transplantation (CLT), a PA size mismatch could also be encountered because a giant PA can be seen in a recipient with idiopathic pulmonary hypertension. 3 Herein, we reviewed the surgical techniques used in our institution along with some new surgical techniques.

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“…The transplanted lung is cooled on cardiopulmonary bypass and cold pulmoplegic solution is utilized to prevent warm ischemia and infarction. Alternatively, some centers have reported successful stent placement in this postoperative period (54).…”

Section: Treatmentmentioning

confidence: 99%

Anastomotic complications after lung transplantation

Álvarez¹

2023

Curr Chall Thorac Surg

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Since the first lung transplant performed by James Hardy in 1963 in the University of Mississippi, there has been significant progress in the surgical techniques and perioperative care. However, the median survival of lung transplant recipients continue to be poor compared to other transplanted organs. While infections and graft failure account for approximately 35% of deaths in the first year after transplantation, the development of different forms of chronic lung allograft dysfunction and neoplasms, account for the majority of late deaths. Anastomotic complications are rare, but still are associated to significant postoperative problems that should be appropriately managed.The lung transplant technique comprises three anastomoses: the bronchial, the pulmonary artery and the

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Stent Angioplasty for a Kink in the Pulmonary Artery Anastomosis Soon After Living-Donor Lobar Lung Transplantation

Cited by 13 publications

References 6 publications

Evaluating the Impact of Pulmonary Artery Obstruction After Lung Transplant Surgery: A Systematic Review and Meta-analysis

Evaluating the Impact of Pulmonary Artery Obstruction After Lung Transplant Surgery: A Systematic Review and Meta-analysis

Various techniques for anastomosis of pulmonary arteries with size mismatch during lung transplantation

Anastomotic complications after lung transplantation

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