Multicentre prospective observational study for pulmonary vein stump thrombus after anatomical lung resections
Multicentre prospective observational study for pulmonary vein stump thrombus after anatomical lung resections
复制标题
DOI：
10.1093/ejcts/ezab370
复制
发表时间：
2021-08-07
影响因子：
3.4
通讯作者：
Suzuki, Kenji
中科院分区：
文献类型：
--
作者：
Hattori, Aritoshi;Takamochi, Kazuya;Suzuki, Kenji
目标：我们的目标是评估肺切除术后肺静脉残端血栓（PVST）形成的发病率和常见部位。入组患者接受了解剖性肺切除术，包括肺叶切除术、双叶切除术、肺切除术、左上三肺段切除术或舌肺段切除术。在肺切除术后早期进行术后对比增强计算机断层扫描，以评估PVST的发生率。此外，单变量和多变量分析进行评估的危险因素与PVST使用logistic回归model.RESULTS：PVST的状态的基础上，术后对比增强计算机断层扫描进行了前瞻性评估为1040例患者。肺切除术后平均3天（范围：1-84）进行术后计算机断层扫描评价。127例（12.2%）患者出现PVST，左侧（23.3%）多于右侧（4.9%）（P
OBJECTIVES: Our goal was to evaluate the incidence and frequent sites of pulmonary vein stump thrombus (PVST) formation after pulmonary resection.METHODS: This is a prospective multicentre observational study conducted by 14 institutions in Japan. Enrolled patients underwent anatomical pulmonary resection including lobectomy, bilobectomy, pneumonectomy, left upper trisegmentectomy or lingular segmentectomy. Postoperative contrast-enhanced computed tomography was performed in the early period after the pulmonary resection to evaluate the incidence of PVST. Furthermore, univariable and multivariable analyses were performed to assess the risk factors associated with PVST using a logistic regression model.RESULTS: The status of PVST based on postoperative contrast-enhanced computed tomography scans was prospectively evaluated for 1040 patients. Postoperative computed tomography evaluation was performed for 3 (range: 1-84) days on average after the pulmonary resection. PVST was found in 127 (12.2%) patients with left-sided (23.3%) predominance compared to the right side (4.9%) (P