Trombosis en el muñón arterial de cirugías de resección pulmonar: análisis de su presentación clínica, tratamiento y evolución. [artículo]
Por: López Padilla, Daniel Eduardo [Neumología]
| Peghini Gavilanes, Esteban [Radiodiagnóstico] | Revilla Ostolaza, Yolanda [Radiología] | Trujillo, María Dolores [Cirugía Torácica] | Martínez Serna, Iván [Cirugía Torácica] | Arenas Valls, Nuria [Neumología] | Girón Matute, Walther Iván [Neumología] | Larrosa Barrero, Roberto [Neumología] | Manrique Mutiozábal, Adriana [Neumología] | Pérez Gallán, Marta [Neumología] | Zevallos Villegas, Annette [Neumología] | Sayas Catalán, Javier [Neumología].
Colaborador(es): Servicio de Neumología | Servicio de Cirugía Torácica | Servicio de Radiodiagnóstico.
Tipo de material: 
ArtículoEditor: Archivos de bronconeumología, 2016Descripción: 52(10):512-8.Recursos en línea: Solicitar documento Resumen: Objective: To determine the prevalence of arterial stump thrombosis (AST) after pulmonary resection surgery for lung cancer and to describe subsequent radiological follow-up and treatment.
Material and methods: Observational, descriptive study of AST detected by computerized tomography angiography (CT) using intravenous contrast. Clinical and radiological variables were compared and a survival analysis using Kaplan-Meier curves was performed after dividing patients into 3 groups: patients with AST, patients with pulmonary embolism (PE), and patients without AST or PE.
Results: Nine cases of AST were detected after a total of 473 surgeries (1.9%), 6 of them in right-sided surgeries (67% of AST cases). Median time to detection after surgery was 11.3 months (interquartile range 2.7-42.2 months), and range 67.5 months (1.4-69.0 months). Statistically significant differences were found only in the number of CTs performed in AST patients compared to those without AST or PE, and in tumor recurrence in PE patients compared to the other 2 groups. No differences were found in baseline or oncological characteristics, nor in the survival analysis.
Conclusions: In this series, AST prevalence was low and tended to occur in right-sided surgeries. Detection over time was variable, and unrelated to risk factors previous to sur
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Formato Vancouver:
López Padilla D, Peghini Gavilanes E, Revilla Ostolaza TY, Trujillo MD, Martínez Serna I, Arenas Valls N et al. Trombosis en el muñón arterial de cirugías de resección pulmonar: análisis de su presentación clínica, tratamiento y evolución. Arch Bronconeumol. 2016 Oct;52(10):512-8.
PMID: 27156986
Contiene 23 referencias
Objective: To determine the prevalence of arterial stump thrombosis (AST) after pulmonary resection surgery for lung cancer and to describe subsequent radiological follow-up and treatment.
Material and methods: Observational, descriptive study of AST detected by computerized tomography angiography (CT) using intravenous contrast. Clinical and radiological variables were compared and a survival analysis using Kaplan-Meier curves was performed after dividing patients into 3 groups: patients with AST, patients with pulmonary embolism (PE), and patients without AST or PE.
Results: Nine cases of AST were detected after a total of 473 surgeries (1.9%), 6 of them in right-sided surgeries (67% of AST cases). Median time to detection after surgery was 11.3 months (interquartile range 2.7-42.2 months), and range 67.5 months (1.4-69.0 months). Statistically significant differences were found only in the number of CTs performed in AST patients compared to those without AST or PE, and in tumor recurrence in PE patients compared to the other 2 groups. No differences were found in baseline or oncological characteristics, nor in the survival analysis.
Conclusions: In this series, AST prevalence was low and tended to occur in right-sided surgeries. Detection over time was variable, and unrelated to risk factors previous to sur
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