Vascular anastomotic complications in lung transplantation: a single institution's experience

Siddique, Aleem; Bose, Amal; Özalp, Faruk; Butt, Tanveer; Muse, H. David; Morley, Katie; Dark, John H.; Parry, Gareth; Clark, Stephen

doi:10.1093/icvts/ivt266

Cited by 46 publications

(63 citation statements)

References 19 publications

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“…Women typically have smaller thoracic cavities and vascular structures than men. 4,5 PA twisting during lung transplantation is not a common complication, with an incidence <2%. As the volume of lung transplants continues to increase, this is a complication that will be diagnosed with increasing frequency.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary artery twisting during lung transplantation

Lichliter

Oros

Laurie

2018

Baylor University Medical Center Proceedings

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To the radiologist, complications of lung transplant are believed to occur along a time continuum, which is key given the nonspecific clinical and imaging findings. Pulmonary artery twisting in the immediate and early postoperative period is a known complication of transplantation, but receives relatively little attention. Early recognition is paramount due to the high morbidity and mortality of such a complication. This case highlights some imaging manifestations of the pulmonary artery.

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Section: Discussionmentioning

confidence: 99%

Pulmonary artery twisting during lung transplantation

Lichliter

Oros

Laurie

2018

Baylor University Medical Center Proceedings

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“…The former are usually treated win angioplasty and dilation, whereas usual therapy for the latter is stent implant if required. Anticoagulation is used for thrombotic cases 7 .…”

Section: Vascular Complicationsmentioning

confidence: 99%

Postoperative surgical complications after lung transplantation

Torre¹,

Fernández²,

Fieira³

et al. 2015

Revista Portuguesa de Pneumologia (English Edition)

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This is a review article on the main postoperative complications after lung transplantation: airways complications, vascular complications, pleural complications, surgical wound complications, and abdominal complications. Incidence data, severity, and major management regimens are reported. Postoperative complications after lung transplantation result in a significantly increased morbidity and mortality, with early diagnosis and therapy being extremely important.

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“…Pulmonary artery stenosis has an incidence of 1.5 to 4.7% following lung transplant, and is more common than complications involving the pulmonary venous anastomosis, as arterial anastomoses are more prone to poor orientation, narrowing, or kinking. 151,152 Because of the rarity of this complication, as well as the relative paucity of lung transplants as a whole, there are limited studies examining this phenomenon. However, case reports suggest that the stenosis most often occurs at the anastomotic site within a few months of surgery.…”

Section: Vascular Complicationsmentioning

confidence: 99%

Iatrogenic-Related Transplant Injuries: The Role of the Interventional Radiologist

Copelan

George

Kapoor

et al. 2015

Semin intervent Radiol

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As advances in surgical techniques and postoperative care continue to improve outcomes, the use of solid organ transplants as a treatment for end-stage organ disease is increasing. With the growing population of transplant patients, there is an increasing need for radiologic diagnosis and minimally invasive procedures for the management of posttransplant complications. Typical complications may be vascular or nonvascular. Vascular complications include arterial stenosis, graft thrombosis, and development of fistulae. Common nonvascular complications consist of leaks, abscess formation, and stricture development. The use of interventional radiology in the management of these problems has led to better graft survival and lower patient morbidity and mortality. An understanding of surgical techniques, postoperative anatomy, radiologic findings, and management options for complications is critical for proficient management of complex transplant cases. This article reviews these factors for kidney, liver, pancreas, islet cell, lung, and small bowel transplants.

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Vascular anastomotic complications in lung transplantation: a single institution's experience

Cited by 46 publications

References 19 publications

Pulmonary artery twisting during lung transplantation

Pulmonary artery twisting during lung transplantation

Postoperative surgical complications after lung transplantation

Iatrogenic-Related Transplant Injuries: The Role of the Interventional Radiologist

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