Revascularization of trachea in lung and tracheal transplantation.
Ischemia is the primary risk factor for airway complications in double lung transplantation using tracheal anastomosis and in tracheal transplantation. Many treatment options as to revascularization for the trachea were herein described and reviewed. They include direct revascularization (using a conduit such as artery or vein), revascularization with tissue wrapping (using omentum, muscle, internal thoracic artery pedicle, pleura, or pericardial fat pad), and with drug administration (using corticosteroid hormone, prostaglandin, or angiogenic factor). As there are few organized reports including new information on revascularization for the trachea these days, this review article would help thoracic surgeons who get engaged transplantation.
Nakanishi
Ryoichi
R
Department of Thoracic Surgery, Shin-Kokura Hospital, Federation of National Public Service Personnel Mutual Aid Associations, Kokurakita-ku, Kitakyushu, Japan. ryoichi@med.uoeh-u.ac.jp
D006801:Humans; D007511:Ischemia / Q000517:prevention & control*; D016040:Lung Transplantation / Q000379:methods* / Q000502:physiology; D019616:Thoracic Surgical Procedures / Q000379:methods; D014132:Trachea / Q000098:blood supply* / Q000637:transplantation*; D014656:Vascular Surgical Procedures / Q000379:methods; D014945:Wound Healing / Q000502:physiology