Chest X-ray Sizing for Lung Transplants Reflects Pulmonary Diagnosis and Body Composition and Is Associated With Primary Graft Dysfunction Risk
Chest X-ray Sizing for Lung Transplants Reflects Pulmonary Diagnosis and Body Composition and Is Associated With Primary Graft Dysfunction Risk
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DOI：
10.1097/tp.0000000000003238
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发表时间：
2021-02-01
期刊：
影响因子：
6.2
通讯作者：
Halloran, Kieran
中科院分区：
文献类型：
--
作者：
Li, David;Weinkauf, Justin;Halloran, Kieran
背景：基于预测的肺总容量（pTLC）的供受者体型过大与肺移植后原发性移植物功能障碍（PGD）风险降低有关，但效果因受者的诊断而异。通过胸部X线（CXR）测量来估计实际的总肺容量（TLC），可以解释疾病相关的肺容量变化，但其在大小匹配中的作用尚不清楚。方法：我们回顾了2007-2016年的成人双肺移植受者，并在移植前供体和受体CXR上测量了心尖至肋膈角距离（=肺高度）（过大供体-受体比>1;过小
Background.Donor-recipient oversizing based on predicted total lung capacity (pTLC) is associated with a reduced risk of primary graft dysfunction (PGD) following lung transplant but the effect varies with the recipient's diagnosis. Chest x-ray (CXR) measurements to estimate actual total lung capacity (TLC) could account for disease-related lung volume changes, but their role in size matching is unknown.Methods.We reviewed adult double lung transplant recipients 2007-2016 and measured apex-to-costophrenic-angle distance (=lung height) on pretransplant donor and recipient CXRs (oversized donor-recipient ratio >1; undersized