Unraveling the spectrum of airway complications following lung transplantation: a comprehensive overview

被引:0
|
作者
Dhanani, Zehra [1 ]
Criner, Rachel [2 ]
Criner, Gerard J. [2 ]
机构
[1] Temple Univ, Temple Univ Hosp, Thorac Med & Surg, Philadelphia, PA USA
[2] Temple Univ, Lewis Katz Sch Med, Thorac Med & Surg, Philadelphia, PA USA
关键词
balloon dilation; bronchial stenosis; dehiscence; endobronchial stenting; RISK-FACTORS; MANAGEMENT; RECIPIENTS;
D O I
10.1097/MOT.0000000000001162
中图分类号
R3 [基础医学]; R4 [临床医学];
学科分类号
1001 ; 1002 ; 100602 ;
摘要
Purpose of reviewThis review delves into the intricate landscape of airway complications post lung transplantation. With the rising prevalence of end-stage lung disease and the increasing number of lung transplantation worldwide, understanding and effectively managing airway complications are crucial. Given the nuanced nature of these complications and the array of treatment options available, this review aims to provide a comprehensive overview of how to identify, classify, mitigate risk factors for, and manage these complications.Recent findingsSeveral donor, recipient, and surgical risk factors are associated with the increased risk of airway complications. In managing these complications, bronchoscopic interventions, notably balloon dilation and stenting, are pivotal. Although self-expanding metallic stents offer versatility, silicone stents are preferred in certain scenarios for their durability. Emerging techniques such as biodegradable stents and advancing imaging modalities show promise in mitigating complications and improving outcomes.SummaryThese findings underscore the significance of a multidisciplinary approach and personalized treatment algorithms in managing airway complications post lung transplantation. By elucidating specific indications and complications of treatment modalities, this review serves as a valuable resource for optimally managing airway complications. Ongoing research into novel interventions holds promise for further enhancing outcomes in this challenging clinical setting.
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页码:323 / 331
页数:9
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