Stent-angioplasty of an anastomotic stenosis of the pulmonary artery after lung transplantation

Bergér, H.; Steiner, W.; Schmidt, Daniela; Forst, H.; Dienemann, Hendrik

doi:10.1016/1010-7940(94)90102-3

Cited by 24 publications

(29 citation statements)

References 2 publications

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“…The investigators used short 11 F sheaths at subclavian or internal jugular vein approaches in these patients who did not have access to the superior vena cava from the inferior vena cava route. Stents have been used to enlarge pulmonary arteries after lung transplantation [4], and in the setting of idiopathic branch pulmonary arterial stenosis [37]. In (usually adult) patients with this condition, right ventricular hypertension may be improved and pulmonary perfusion and cardiac output may be helped dramatically by lasting pulmonary artery stenosis dilation with stenting, sometimes postponing clinical deterioration or the need for lung transplantation.…”

Section: Stent Treatmentmentioning

confidence: 99%

Catheterization Treatment of Stenosis and Hypoplasia of Pulmonary Arteries

O’Laughlin

1998

Pediatr Cardiol

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Stenosis of pulmonary arteries is one of the most challenging problems requiring treatment in the care of patients with congenital and acquired cardiopulmonary disease. Surgical approaches have been met with difficulty over the years, and may themselves lead to further distortion of the treated arteries. Balloon dilation first came into use in the 1980s, and has proved moderately effective. Its use has been extended to proximal pulmonary valve stenosis in order to improve distal flow and artery growth in some variants of tetralogy of Fallot. More recently, the judicious application of stent implantation has improved the outlook for pulmonary artery stenosis. The etiology, treatment (with balloon dilation and stent placement), and prognosis of pulmonary arterial stenosis will be discussed.

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Section: Stent Treatmentmentioning

confidence: 99%

Catheterization Treatment of Stenosis and Hypoplasia of Pulmonary Arteries

O’Laughlin

1998

Pediatr Cardiol

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“…Vascular anastomotic strictures are very infrequent, and are associated with high mortality and morbidity rates (34). Only 16 arterial anastomotic stenoses have been reported in the literature (34)(35)(36)(37). Frequently, size mismatch between the donor and the recipient pulmonary artery stumps can be observed at the anastomotic site, though rarely do these findings have any clinical significance.…”

Section: Vascular Anastomotic Stenosismentioning

confidence: 99%

Thoracic complications following lung transplantation: 64‐MDCT findings

Caruso

Crinò

Milazzo

et al. 2011

Clinical Transplantation

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The aim of this review is to present the wide spectrum of common and uncommon thoracic complications that can affect the lung after transplantation. These complications were analyzed using 64 multi-detector row helical CT (MDCT). Sixty-four MDCT techniques and parameters are illustrated. Correlations of imaging findings and pathologic and histologic specimens obtained by transbronchial biopsy and broncoalveolar lavage are illustrated in representative cases.

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“…Pulmonary artery anastomotic stenoses or occlusions, or both, have been treated in limited cases with balloon angioplasty and stent placement. 48,49 PULMONARY FUNCTION TESTS In the absence of significant complications, physiological lung function generally improves to best baseline values within the first 6 months after transplantation as the thoracotomy wound heals, chest pain subsides, and ischemia-reperfusion injury resolves. Lung function, quantified as percent of predicted normal, has been shown to correlate with the individual patient's overall clinical outcome after LTx.…”

Section: Airway Complications Of Lung Transplantationmentioning

confidence: 99%

Interventional Techniques in the Management of Airway Complications Following Lung Transplantation

Amesur

Orons²,

Iacono³

2005

Semin intervent Radiol

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The last four decades have seen tremendous advances in the field of pulmonary transplantation. Vast improvements in the areas of surgical transplantation techniques, immunosuppressive agents, and postoperative care have all contributed to improved survival of patients. Advances in noninvasive imaging and bronchoscopy have allowed the pulmonary transplant team to intervene early in patients presenting with airway complications, often using minimally invasive procedures such as endobronchial balloon dilation or stent placement, or both. Stent technology itself has also improved and stents may sometimes be customized for treatment of short airway lesions or to optimize continued airflow through the sides of stents by creating openings using balloons or bronchoscopically directed laser. Preliminary work with brachytherapy may be decreasing the need for secondary reinterventions. The authors present an overview of some of these conventional and novel approaches to the treatment of airway complications after lung transplantation.

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Stent-angioplasty of an anastomotic stenosis of the pulmonary artery after lung transplantation

Cited by 24 publications

References 2 publications

Catheterization Treatment of Stenosis and Hypoplasia of Pulmonary Arteries

Catheterization Treatment of Stenosis and Hypoplasia of Pulmonary Arteries

Thoracic complications following lung transplantation: 64‐MDCT findings

Interventional Techniques in the Management of Airway Complications Following Lung Transplantation

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