Jiang Hui, Han Yijiao, Zheng Xia, Fang Qiang
Department of Critical Care Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Front Physiol. 2022 Nov 3;13:986422. doi: 10.3389/fphys.2022.986422. eCollection 2022.
Lung transplantation is the preferred treatment method for patients with end-stage pulmonary disease. However, several factors hinder the progress of lung transplantation, including donor shortages, candidate selection, and various postoperative complications. Electrical impedance tomography (EIT) is a functional imaging tool that can be used to evaluate pulmonary ventilation and perfusion at the bedside. Among patients after lung transplantation, monitoring the graft's pulmonary function is one of the most concerning issues. The feasible application of EIT in lung transplantation has been reported over the past few years, and this technique has gained increasing interest from multidisciplinary researchers. Nevertheless, physicians still lack knowledge concerning the potential applications of EIT in lung transplantation. We present an updated review of EIT in lung transplantation donors and recipients over the past few years, and discuss the potential use of ventilation- and perfusion-monitoring-based EIT in lung transplantation.
肺移植是终末期肺病患者的首选治疗方法。然而,有几个因素阻碍了肺移植的进展,包括供体短缺、候选者选择以及各种术后并发症。电阻抗断层成像(EIT)是一种功能成像工具,可用于在床边评估肺通气和灌注。在肺移植后的患者中,监测移植肺的功能是最受关注的问题之一。过去几年已有关于EIT在肺移植中可行应用的报道,并且该技术越来越受到多学科研究人员的关注。尽管如此,医生们仍然缺乏关于EIT在肺移植中潜在应用的知识。我们对过去几年EIT在肺移植供体和受体中的应用进行了更新综述,并讨论了基于通气和灌注监测的EIT在肺移植中的潜在用途。