[Bronchial anastomotic complications after pulmonary transplantation. X-ray computed tomographic evaluation].
OBJECTIVE
To determine the sensitivity and specificity of CT in depicting bronchial anastomotic complications after lung transplantation.


METHODS
A retrospective, blinded review of 105 CT scans obtained after single (n = 17) or double (n = 10) lung transplantation in 27 patients was done by two radiologists in consensus. CT images, were analyzed with respect to the status of bronchial anastomoses, with three possible answers given to the readers: normal, dehiscence, or stenosis. CT features were correlated to bronchoscopic and follow-up findings, which were considered as standard of reference.


RESULTS
CT had a 60% sensitivity and 98% specificity for the diagnosis of bronchial dehiscence, and 40% and 99% for the diagnosis of anastomotic stenosis. One case of bronchial disruption was diagnosed on CT scan only and subsequently confirmed by repeated bronchoscopy.


CONCLUSIONS
In our study, CT has a low sensitivity but a high specificity in the detection of bronchial anastomotic complications after lung transplantation. However, CT remains useful in some cases, as it can show complications not seen bronchoscopically.
Devine
N
N
Service de Radiologie, Hôpital Foch, Suresnes.
Soyer
P
P
Rebibo
G
G
Colchen
A
A
Leroy
M
M
Stern
M
M
Bonnette
P
P
Scherrer
A
A
D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects; D001980:Bronchi / Q000601:surgery*; D001999:Bronchoscopy; D005260:Female; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D012680:Sensitivity and Specificity; D013536:Suture Techniques / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
Complications anastomotiques bronchiques après transplantation pulmonaire. Evaluation tomodensitométrique.