Outcomes of slide tracheoplasty in 101 children: A 17-year single-center experience
| Autor: | Martin J. Elliott, Colin Butler, Nagarajan Muthialu, Richard Hewitt, Simone Speggiorin, Derek J. Roebuck, Friso M. Rijnberg |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Kaplan-Meier Estimate Severity of Illness Index law.invention Malacia Extracorporeal Membrane Oxygenation Postoperative Complications Risk Factors law London medicine Cardiopulmonary bypass Extracorporeal membrane oxygenation Humans Child Proportional Hazards Models Retrospective Studies Bronchus business.industry Age Factors Bronchomalacia Infant Newborn Infant Thoracic Surgical Procedures respiratory system medicine.disease Dilatation Surgery Tracheal Stenosis Stenosis Treatment Outcome medicine.anatomical_structure Child Preschool Anesthesia Multivariate Analysis Balloon dilation Female Stents Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 147:1783-1790 |
| ISSN: | 0022-5223 |
| Popis: | ObjectiveOur study describes the results from surgical slide tracheoplasty (STP) in children with long segment tracheal stenosis.MethodsDemographic and preoperative conditions, operative details, and outcome measures, including the need for endoscopic airway intervention and mortality, were collected for children undergoing STP between February 1995 and December 2012.ResultsOne hundred one patients (median age, 5.8 months; range, 5 days-15 years) underwent STP. Seventy-two patients (71.3%) had associated cardiovascular anomalies. Preoperative ventilation was necessary in 56 patients (55.4%), whereas extracorporeal membrane oxygenation was required in 10 patients (9.9%). Abnormal bronchial arborization was present in 39 children (38.6%), which included 13 patients (12.8%) with an anomalous right upper lobe bronchus and 17 patients (16.8%) with tracheal trifurcation. Airway stenosis extended into 1 or both bronchi in 24 patients (23.7%) and preoperative malacia was present in 24 patients (23.7%). STP was extended into the bronchus in 47 patients (46.5%). Overall survival was 88.2% (mortality in 12 patients). Post-STP balloon dilation was necessary in 45 patients (44.6%) and stenting was required in 22 patients (21.8%). Multivariate analysis revealed preoperative extracorporeal membrane oxygenation (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|