Left upper lobectomy can be a risk factor for thrombosis in the pulmonary vein stump.
Left upper lobectomy can be a risk factor for thrombosis in the pulmonary vein stump.
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DOI：
10.1186/1749-8090-9-5
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发表时间：
2014-01-06
影响因子：
1.6
通讯作者：
Matsui Y
中科院分区：
文献类型：
--
作者：
Ohtaka K;Hida Y;Kaga K;Takahashi Y;Kawase H;Hayama S;Ichimura T;Senmaru N;Honma N;Matsui Y
左上肺叶切除术后左上肺静脉残端血栓形成是一种非常罕见但重要的并发症，因为它发生在全身循环系统。我们先前首次报道了肺叶切除术后肺静脉残端血栓形成的频率和危险因素。在这项研究中，我们在不同的医院进行了一项调查，以确定这是否是常见的并发症。研究对象为2008-2012年间接受肺叶切除术后2年内行CT增强扫描的151例患者。对术后增强CT影像进行回顾性检查。151例患者中有5例(3.3%)肺静脉残端有血栓形成。5例均行左上叶切除术(占左上叶切除术的17.9%)。5例患者均未发生重要脏器梗塞。3例CT增强扫描血栓在几个月后消失，2例随访。单因素分析显示，仅手术方式差异有统计学意义(p <； 0.001)。左肺上叶切除术后肺静脉残端血栓形成的发生率较高。因为这项研究中血栓形成的频率与我们之前的报告中相同，这可能是一种常见的并发症。
Thrombosis in the left upper pulmonary vein stump after left upper lobectomy is a very rare but important complication because it occurs in the systemic circulation system. We previously made the first ever report on the frequency and risk factors of thrombosis in the pulmonary vein stump after lobectomy. In this study, we conducted an investigation in a different hospital to determine whether this was a common complication. From 2008 to 2012, 151 patients who underwent lobectomy and following enhanced CT within 2 years after the operation were studied. Postoperative contrast-enhanced CT imaging was retrospectively checked. We found thrombosis in the pulmonary vein stump in 5 of the 151 patients (3.3%). All 5 patients underwent left upper lobectomy (17.9% of the patients who underwent left upper lobectomy). These 5 patients did not have infarction of any vital organ. The thrombus was disappeared several months later on contrast-enhanced CT in 3 patients and followed in 2 patients. On univariate analysis, there was a significant difference only in the operative procedure (p < 0.001). Thrombosis in the pulmonary vein stump occurred with high frequency in patients who underwent left upper lobectomy. Because the frequency of thrombosis in this study was the same as in our previous report, this might be a common complication.
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DOI：
10.1016/j.echo.2004.02.003
发表时间：
2004-05-01
影响因子：
6.5
作者：
Schwalm, S;Ward, P;Spencer, KT
通讯作者：
Spencer, KT
影响因子：
19.7
作者：
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通讯作者：
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影响因子：
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作者：
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影响因子：
4.6
作者：
Ohtaka, Kazuto;Hida, Yasuhiro;Matsui, Yoshiro
通讯作者：
Matsui, Yoshiro