1. Efficacy of three-dimensional computed tomography volumetry for recipients in downsizing oversized grafts in brain-dead donor lung transplantation
- Author
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Satona Tanaka, Masatsugu Hamaji, Yojiro Yutaka, Ryo Fujimoto, Akihiro Ohsumi, Yoshito Yamada, Hiroshi Date, Toshi Menju, and Daisuke Nakajima
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Small chest ,Oversized graft ,medicine.medical_treatment ,Computed tomography ,030204 cardiovascular system & hematology ,Pulmonary function testing ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Three-dimensional computed tomography volumetry ,Living Donors ,Lung transplantation ,Humans ,Lung volumes ,Lobar lung transplantation ,Lung ,Retrospective Studies ,Brain dead ,Transplantation ,medicine.diagnostic_test ,business.industry ,Brain dead donor ,Brain ,General Medicine ,respiratory system ,Tissue Donors ,Cardiac surgery ,respiratory tract diseases ,Surgery ,medicine.anatomical_structure ,surgical procedures, operative ,Cardiothoracic surgery ,030220 oncology & carcinogenesis ,Original Article ,Cardiology and Cardiovascular Medicine ,business ,Tomography, X-Ray Computed ,Lung Transplantation - Abstract
Objective Brain-dead donor lung transplantation frequently requires reduction in the size of oversized lung grafts for patients with a small chest cavity. We focused on the role of three-dimensional computed tomography (3D-CT) volumetry for recipients on downsizing oversized lung grafts. Methods We performed 53 brain-dead donor bilateral lung transplantations, including 15 lobar lung transplants (Lobar group) and 38 standard lung transplants with full-sized grafts (Full group), between December 2010 and December 2018. Recipient chest volume before transplantation was measured using 3D-CT volumetry, and donor lung volume was evaluated by predicted total lung capacity. Post-transplant outcomes and pulmonary function were retrospectively compared between the groups. Results The ratio of the recipient chest volume to the donor lung volume was significantly lower in the Lobar group (0.42 ± 0.15) than in the Full group (0.77 ± 0.30, P
- Published
- 2021