Section of Pulmonary and Critical Care, University of Chicago, 5841 S. Maryland Avenue, MC 6096, Chicago, IL 60637, USA.
Department of Pulmonary, Allergy, and Critical Care, Respiratory Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Clin Chest Med. 2017 Dec;38(4):693-706. doi: 10.1016/j.ccm.2017.07.010. Epub 2017 Sep 20.
Airway complications remain a significant source of morbidity and mortality after lung transplantation. The incidence of complications is wide-ranging depending on the definition of the event, and there is still no universally accepted grading system for airway findings after transplantation. Additionally, although surgical technique and organ preservation have improved, other modifiable risk factors remain unclear. The management is as wide-ranging as the definitions. A multimodality approach is often needed with airway stenting reserved for refractory cases and stent management by a transplant team with expertise in placement and management of long-term complications."
气道并发症仍然是肺移植后发病率和死亡率的重要原因。并发症的发生率因事件的定义而异，并且对于移植后气道发现仍然没有普遍接受的分级系统。此外，尽管手术技术和器官保存得到了改善，但其他可改变的危险因素仍不清楚。管理方法与定义一样广泛。通常需要采用多模式方法，对于难治性病例保留气道支架，并且由具有放置和管理长期并发症专业知识的移植团队进行支架管理。
