The role of self-expandable metallic stents for the treatment of airway complications after lung transplantation.

Abstract:

BACKGROUND:Airway complications continue to be an important source of morbidity and mortality after lung transplantation (LTx). Different approaches have been used for their nonsurgical management. We describe our experience using self-expandable metallic stents (SEMSs) in patients with airway complications post-LTx. METHODS:We present a retrospective analysis of stent related-data of all the LTx patients who received SEMSs to treat postoperative airway complications. RESULTS:Between January 1992 and December 2001, 36 of 253 patients (14.2%) developed post-LTx airway complications involving 40 of 348 anastomoses (11.5%). A total of 15 SEMSs were placed in 12 patients (mean age 47.3+/-9.6 years) for tracheobronchomalacia, stenosis, and anastomotic dehiscence, including one patient referred from an outside hospital. Mean follow-up was 20.1+/-19.5 months (range 1.2-58 months). Patency and symptom improvement were achieved in 11 of 12 patients. Stenting of the airway led to successful weaning of two patients who were on prolonged mechanical ventilation. Suture dehiscence was effectively managed in two patients who were not candidates for surgical repair. Overall, the complication rate was 0.040 complications per patient per month (total number of complications and total number of months using the stent). Bacterial bronchitis (four patients) and obstructive granulomas (three patients) were the most frequent complications. The survival of LTx patients with airway SEMSs was similar when compared with the survival of all other LTx patients (P=0.74). CONCLUSIONS:SEMSs are safe and effective in the management of airway complications in selected patients post-LTx. Weaning from mechanical ventilation and management of anastomotic dehiscence are the unique attributes of this device.

journal_name

Transplantation

journal_title

Transplantation

authors

Saad CP,Ghamande SA,Minai OA,Murthy S,Pettersson G,DeCamp M,Mehta AC

doi

10.1097/01.TP.0000061229.83500.A0

subject

Has Abstract

pub_date

2003-05-15 00:00:00

pages

1532-8

issue

9

eissn

0041-1337

issn

1534-6080

journal_volume

75

pub_type

杂志文章
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    pub_type: 杂志文章

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    journal_title:Transplantation

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    更新日期:2004-06-15 00:00:00

  • Improved phagocyte response by co-amoxiclav in renal transplant recipients.

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    journal_title:Transplantation

    pub_type: 杂志文章

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    authors: Cuffini AM,Tullio V,Giacchino F,Bonino A,Mandras N,Bianchi N,Roana J,Scalas D,Bonello F,Carlone NA

    更新日期:2001-02-27 00:00:00

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31816f61a6

    authors: Saner FH,Olde Damink SW,Pavlakovic G,van den Broek MA,Rath PM,Sotiropoulos GC,Radtke A,Canbay A,Paul A,Nadalin S,Malagó M,Broelsch CE

    更新日期:2008-06-15 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00007890-199602150-00004

    authors: Kaplon RJ,Hochman PS,Michler RE,Kwiatkowski PA,Edwards NM,Berger CL,Xu H,Meier W,Wallner BP,Chisholm P,Marboe CC

    更新日期:1996-02-15 00:00:00

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    pub_type: 杂志文章

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    authors: Sommer BG,Henry M,Ferguson RM

    更新日期:1987-01-01 00:00:00

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    pub_type: 杂志文章

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    authors: Wada M,Amae S,Sasaki H,Ishii T,Sano N,Nio M,Hayashi Y,Ohi R

    更新日期:2003-06-15 00:00:00

  • Natural killer cell interaction with murine allogeneic MHC class I molecules.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199508000-00013

    authors: Salcedo M,Höglund P,Ljunggren HG

    更新日期:1995-08-15 00:00:00

  • Serum adiponectin levels and ambulatory blood pressure monitoring in pediatric renal transplant recipients.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181b9e1ec

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    更新日期:2009-10-27 00:00:00

  • Thrombin inhibition in an ex vivo model of porcine heart xenograft hyperacute rejection.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199603270-00003

    authors: Robson SC,Young VK,Cook NS,Metternich R,Kasper-Konig W,Lesnikoski BA,Pierson RN 3rd,Hancock WW,Candinas D,White DJ,Bach FH

    更新日期:1996-03-27 00:00:00

  • Tacrolimus in cardiac transplantation: efficacy and safety of a novel dosing protocol.

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    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-200210270-00014

    authors: Baran DA,Galin I,Sandler D,Segura L,Cheng J,Courtney MC,Correa R,Chan M,Fallon JT,Spielvogel D,Lansman SL,Gass AL

    更新日期:2002-10-27 00:00:00

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    journal_title:Transplantation

    pub_type: 杂志文章

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    authors: Rose ML,West LJ

    更新日期:2012-02-15 00:00:00

  • A reevaluation of the role of IgM Non-HLA antibodies in cardiac transplantation.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31819a65fa

    authors: Smith JD,Hamour IM,Burke MM,Mahesh B,Stanford RE,Haj-Yahia S,Robinson DR,Kaul P,Yacoub MH,Banner NR,Rose ML

    更新日期:2009-03-27 00:00:00

  • Donation after circulatory death: current practices, ongoing challenges, and potential improvements.

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    pub_type: 杂志文章,评审

    doi:10.1097/01.TP.0000437178.48174.db

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  • The distribution of HLA antigens and phenotypes among donors and patients in the UNOS registry.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

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    更新日期:1994-11-27 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00007890-197502000-00008

    authors: Wustrack KO,Gruber RP,Lucas ZJ

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198211000-00002

    authors: Wicomb WN,Cooper DK,Barnard CN

    更新日期:1982-11-01 00:00:00

  • Recipient treatment with L-arginine attenuates donor lung injury associated with hemorrhagic shock.

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    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181a52ce1

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    更新日期:2009-06-15 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00007890-199001000-00040

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  • Reduced human IgG anti-ATGAM antibody formation in renal transplant recipients receiving mycophenolate mofetil.

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    pub_type: 临床试验,杂志文章,随机对照试验

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    pub_type: 杂志文章

    doi:10.1097/00007890-199302000-00027

    authors: Pearce NW,Spinelli A,Gurley KE,Hall BM

    更新日期:1993-02-01 00:00:00

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    pub_type: 临床试验,杂志文章,多中心研究

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    pub_type: 评论,杂志文章

    doi:10.1097/00007890-200008270-00025

    authors: Kawauchi M,Nakajima J,Endoh M,Oka T,Takamoto S

    更新日期:2000-08-27 00:00:00

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    pub_type: 杂志文章

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    更新日期:2001-09-27 00:00:00