Airway Complications after Lung Transplantation: a Pictorial Review

Congress:

ECR 2012

Poster Number:

C-2143

Type:

Educational Exhibit

Keywords:

Lung, CT, Image manipulation / Reconstruction, Complications, Transplantation

Authors:

F. García¹, M. D. C. García Vázquez², D. Petite¹; ¹Madrid, Madrid/ES, ²MADRID/ES

DOI:

10.1594/ecr2012/C-2143

DOI-Link:

https://dx.doi.org/10.1594/ecr2012/C-2143

Fig. 1: Coverpage

Fig. 2

Fig. 3

Fig. 4

Learning objectives

1. To know key findings that will help the Radiologist in order to perform a fast and accurate diagnosis of airway complications in lung transplanted patients. 2. To review state-of-the art CT imaging protocols for the evaluation of airway anastomosis in lung transplanted patients. 3. To perform a pictorial review of main imaging features of central airway complications in lung transplanted patients.

Background

“Lung transplantation is an effective treatment for end-stage pulmonary parenchymal and vascular disease when life expectancy is less than 1.5-2 years, and all medical treatment resources have failed” Introduction: images 2, 3. It is important to know the key facts of lung transplantation surgical techniche to understand airway complications' physiopathology: figs. 4-8

Imaging findings OR Procedure details

At first, we describe the protocol used in our Institution: Fig 9. Then we perform a summary of major airway complications classified in order to their physiopathology Fig 11 Dehiscence: Figs 12-16 Stenosis: Figs 18-21 Bronchomalacia: Figs 22-23 Stent Evaluation: Figs 24-28 Other complications: Figs 29-31

Conclusion

Central airway complications after lung transplantation are an important source of morbi-mortality. MDCT plays a major role in their assessment since it is - Accessible, cheap & quick technique - Has low complications rate - Provides anatomical and functional evaluation when evaluated by experienced Radiologists - Is helpful in planning endoluminal treatmentss

Personal Information

References

1) Álvarez A, Algar J, Santos F, Lama R, Aranda JL, Baamonde C, López-Pujol J, Salvatierra A. Airway complications after lung transplantation: a review of 151 anastomoses. Eur J Cardiothorac Surg. 2001 Apr;19(4):381-7. 2) Collins J, Hartman MJ, Warner TF, Müller NL, Kazerooni EA, McAdams HP, Slone RM, Parker LA. Frequency and CT findings of recurrent disease after lung transplantation. Radiology. 2001 May;219(2):503-9. 3) McAdams HP, Erasmus JJ, Palmer SM. Complications (excluding hyperinflation) involving the native lung after single-lung transplantation: incidence, radiologic features, and clinical...