PURPOSE:The purpose of this study was to assess the incidence of airway complications after lung transplantation and efficacy of various interventional bronchoscopic techniques in management of airway complications.
METHODS:From January 1999 to July 2007 222 patients underwent lung transplantation. 54 patients (19 females and 35 males) or 24.3% required interventional bronchoscopy for airways complications.
RESULTS:All 54 patients had bronchial stenosis and 22 of these 54 patients had combination of bronchial stenosis and bronchiomalacia. 46 patients (85.2%) underwent stent placement with or without other techniques. 24 patients (44.4%) required stent placement, balloon dilatation and electrocautery. 13 patients (24.1%) were treated with stent placement only. 3 patients (5.6%) had stenting and balloon dilatation. 6 patients (11.1%) were treated with stenting and electrocautery. 5 patients (9.3%) underwent electrocautery only. 2 patients (3.7%) had balloon dilatation and electrocautery. 1 patient (1.9%) required balloon dilatation only.
CONCLUSION:Airways complications following lung transplantation are common. Only a small number of patients with airway stenosis responded to balloon dilatation alone. Most of the patients eventually required airway stenting. Further studies are necessary to assess long-term outcomes of interventional bronchoscopy in management of airways complications in lung transplant patients.
CLINICAL IMPLICATIONS:Airways complications in lung transplant patients are common. Balloon dilation alone is not very effective, while bronchial stenting appears to be more effective when indicated.
DISCLOSURE:Igor Aksenov, No Financial Disclosure Information; No Product/Research Disclosure Information