Airway Complication after Lung Transplantation: A Single Center Experience
의약학 > 내과학
신정아 , 김상용 , 변민광 , 김형중 , 안철민 , 장윤수
대한결핵 및 호흡기학회
대한결핵및호흡기학회 추계학술발표초록집 2012년, 제114권 217(총1페이지)
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    Background: Overall survival rates of lung transplantation have improved with improved surgical techniques, better medical management (including newer immunosuppressive drugs) in these days. However, airway complications of the bronchial anastomosis still lead a source of morbidity and perhaps mortality. The described airway complication incidence has a broad range, from 1.6 to 33%. We investigated early (within 3months) and late (after 3months) airway complication of lung transplantation. Methods: Of total 61 patients who received lung transplantation in our center since 1996, we retrospectively analyzed the clinical data of 25 patients who were followed more than 90 days with serial bronchoscopes and pulmonary function tests between 2007 and 2012. Results: Of the 25 patients, 12 patients were experienced airway complications. Of these 12 patients, 7 patients were female and median age was 48.0 years (range, 23-62 years). The early airway complications (15 cases) presented mostly granulation (9 cases) whereas the late complications (9 cases) presented mostly bronchial stenosis (8 cases). 5 patients presented multiple complications. Most of the early complication including granulation improved without special treatment, while the late complications of stenosis were needed additional treatment such as a balloon bronchoplasty. Despite these complications, the lung function (FEV1) of most patients improved over time. Conclusion: In this study, we review our experiences of common airway complication after lung transplantation.
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