Pinillos Robles Javier, García Luján Ricardo, de Pablo Gafas Alicia, de Miguel Poch Eduardo
Servicio de Neumología, Hospital Universitario 12 de Octubre, Madrid, España.
Servicio de Neumología, Hospital Universitario 12 de Octubre, Madrid, España.
Arch Bronconeumol. 2015 Feb;51(2):e5-e7. doi: 10.1016/j.arbres.2013.12.005. Epub 2014 Jul 1.
Airway complications after lung transplant are relatively common although the rates vary according to the different studies. Pathogenesis is diverse but the principal mechanism is usually bronchus intermedius ischemia in the post-transplant period. One major complication is bronchial stenosis, with relatively frequent involvement of the bronchus intermedius in the case of right lung transplantation. Various treatments have been proposed for bronchus intermedius stenosis, such as endobronchial balloon dilation, laser, cryosurgery and bronchial stents. We present two cases of lung transplant recipients with bronchus intermedius stenosis treated with a Montgomery stent or T-stent, commonly used for tracheal stenosis, who showed positive clinical and functional response.
肺移植后的气道并发症相对常见，尽管不同研究中的发生率有所不同。发病机制多种多样，但主要机制通常是移植后时期的中间支气管缺血。一种主要并发症是支气管狭窄，在右肺移植病例中，中间支气管受累相对频繁。针对中间支气管狭窄已提出了各种治疗方法，如支气管内球囊扩张、激光、冷冻手术和支气管支架。我们报告了两例接受肺移植的患者，他们患有中间支气管狭窄，采用常用于气管狭窄的蒙哥马利支架或T形支架进行治疗，临床和功能反应良好。
