Assessing the role of tracheostomy placement in bronchopulmonary dysplasia with pulmonary hypertension.
J Perinatol
; 44(7): 988-994, 2024 Jul.
Article
em En
| MEDLINE
| ID: mdl-38316933
ABSTRACT
OBJECTIVE:
Bronchopulmonary dysplasia (BPD) is a common complication of preterm birth and is associated with abnormal vasculature that contributes to pulmonary hypertension (PH). We evaluated how a tracheostomy may alter PH in these patients.METHODS:
A retrospective chart review over 15-years identified 17 patients with BPD and PH who underwent tracheostomy. Each patient had four echocardiograms re-reviewed and scored for tricuspid valve regurgitation velocity (TR), tricuspid annular plane systolic excursion (TAPSE), right atrial cross-sectional area (RACA), and left ventricle eccentricity indices (EI).RESULT:
There was improvement in TR, TAPSE, RACA, and left ventricle EI indicating reduction in PH after tracheostomy.CONCLUSION:
PH improves over time though role of tracheostomy in PH needs to be further defined. The EI may be a sensitive marker to follow over time in these patients.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Displasia Broncopulmonar
/
Traqueostomia
/
Ecocardiografia
/
Hipertensão Pulmonar
Tipo de estudo:
Prognostic_studies
Limite:
Female
/
Humans
/
Male
/
Newborn
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article