File Download
 
Links for fulltext
(May Require Subscription)
 
Supplementary

Article: Tracheobronchography and angiocardiography of paediatric cardiac patients with airway disorders
  • Basic View
  • Metadata View
  • XML View
TitleTracheobronchography and angiocardiography of paediatric cardiac patients with airway disorders
 
AuthorsCheung, YF1
Lee, SL1
Leung, MP1
Yung, TC1
Chau, AKT1
Hui, HKY1
 
Issue Date2002
 
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JPC
 
CitationJournal Of Paediatrics And Child Health, 2002, v. 38 n. 3, p. 258-264 [How to Cite?]
DOI: http://dx.doi.org/10.1046/j.1440-1754.2002.00774.x
 
AbstractObjective: We report our experience in combining tracheobronchography and angiocardiography in the assessment of a selected cohort of paediatric cardiac patients with problematic airway disorders. Methodology: The clinical records of 11 patients who underwent 17 studies at a median age of 5.5 months (range 3 months to 10.8 years) were reviewed. Tracheobronchography and angiocardiography were performed under general anaesthesia using a non-ionic contrast agent. The findings were compared with those of flexible bronchoscopy and magnetic resonance imaging (MRI). Results: Seven patients had cardiac lesions associated with vascular anomalies potentially compressing the airway, while four had no identifiable aberrant or enlarged vessels. All examinations but one were performed without complications. Tracheobronchography demonstrated extrinsic vascular compression with secondary airway malacia in three (27%), intrinsic tracheobronchial stenosis in five (45%), and airway malacia in three patients (27%). Precise measurement of the airway calibre and real-time fluoroscopic monitoring facilitated transcatheter tracheobronchial interventions (six balloon dilations, three stent implantations) in four patients. In conjunction with angiocardiography, cine-tracheobronchography provided detailed information on the spatial relationship between vascular and airway structures in all patients; allowed dynamic assessment of airway malacia; and facilitated preoperative planning in six patients. In contrast, bronchoscopy failed to differentiate malacia from extrinsic compression in four patients (36%), while MRI, performed in six patients, was unsatisfactory in one due to a motion artefact and failed to diagnose airway malacia and extrinsic compression in three patients. Conclusions: Tracheobronchography is relatively safe in paediatric cardiac patients. Combined tracheobronchography and angiocardiography, a less operator-dependent imaging modality compared to bronchoscopy and MRI, delineated the airway and vascular anatomy in detail; facilitated preoperative planning; and permitted transcatheter tracheo-bronchial interventions. The dynamic capability of tracheobronchography supplements that of flexible bronchoscopy and MRI in the diagnosis of airway malacia.
 
ISSN1034-4810
2013 Impact Factor: 1.193
 
DOIhttp://dx.doi.org/10.1046/j.1440-1754.2002.00774.x
 
ISI Accession Number IDWOS:000175907400010
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorCheung, YF
 
dc.contributor.authorLee, SL
 
dc.contributor.authorLeung, MP
 
dc.contributor.authorYung, TC
 
dc.contributor.authorChau, AKT
 
dc.contributor.authorHui, HKY
 
dc.date.accessioned2012-10-30T06:07:26Z
 
dc.date.available2012-10-30T06:07:26Z
 
dc.date.issued2002
 
dc.description.abstractObjective: We report our experience in combining tracheobronchography and angiocardiography in the assessment of a selected cohort of paediatric cardiac patients with problematic airway disorders. Methodology: The clinical records of 11 patients who underwent 17 studies at a median age of 5.5 months (range 3 months to 10.8 years) were reviewed. Tracheobronchography and angiocardiography were performed under general anaesthesia using a non-ionic contrast agent. The findings were compared with those of flexible bronchoscopy and magnetic resonance imaging (MRI). Results: Seven patients had cardiac lesions associated with vascular anomalies potentially compressing the airway, while four had no identifiable aberrant or enlarged vessels. All examinations but one were performed without complications. Tracheobronchography demonstrated extrinsic vascular compression with secondary airway malacia in three (27%), intrinsic tracheobronchial stenosis in five (45%), and airway malacia in three patients (27%). Precise measurement of the airway calibre and real-time fluoroscopic monitoring facilitated transcatheter tracheobronchial interventions (six balloon dilations, three stent implantations) in four patients. In conjunction with angiocardiography, cine-tracheobronchography provided detailed information on the spatial relationship between vascular and airway structures in all patients; allowed dynamic assessment of airway malacia; and facilitated preoperative planning in six patients. In contrast, bronchoscopy failed to differentiate malacia from extrinsic compression in four patients (36%), while MRI, performed in six patients, was unsatisfactory in one due to a motion artefact and failed to diagnose airway malacia and extrinsic compression in three patients. Conclusions: Tracheobronchography is relatively safe in paediatric cardiac patients. Combined tracheobronchography and angiocardiography, a less operator-dependent imaging modality compared to bronchoscopy and MRI, delineated the airway and vascular anatomy in detail; facilitated preoperative planning; and permitted transcatheter tracheo-bronchial interventions. The dynamic capability of tracheobronchography supplements that of flexible bronchoscopy and MRI in the diagnosis of airway malacia.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.identifier.citationJournal Of Paediatrics And Child Health, 2002, v. 38 n. 3, p. 258-264 [How to Cite?]
DOI: http://dx.doi.org/10.1046/j.1440-1754.2002.00774.x
 
dc.identifier.doihttp://dx.doi.org/10.1046/j.1440-1754.2002.00774.x
 
dc.identifier.epage264
 
dc.identifier.isiWOS:000175907400010
 
dc.identifier.issn1034-4810
2013 Impact Factor: 1.193
 
dc.identifier.issue3
 
dc.identifier.pmid12047693
 
dc.identifier.scopuseid_2-s2.0-0036271296
 
dc.identifier.spage258
 
dc.identifier.urihttp://hdl.handle.net/10722/170316
 
dc.identifier.volume38
 
dc.languageeng
 
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JPC
 
dc.publisher.placeAustralia
 
dc.relation.ispartofJournal of Paediatrics and Child Health
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshAirway Obstruction - Complications - Congenital - Diagnosis
 
dc.subject.meshAngiography - Methods
 
dc.subject.meshBronchial Diseases - Complications - Diagnosis
 
dc.subject.meshBronchography - Methods
 
dc.subject.meshBronchoscopy
 
dc.subject.meshChild
 
dc.subject.meshChild, Preschool
 
dc.subject.meshCohort Studies
 
dc.subject.meshFemale
 
dc.subject.meshHeart Catheterization - Methods
 
dc.subject.meshHeart Defects, Congenital - Complications - Diagnosis
 
dc.subject.meshHospitals, Pediatric
 
dc.subject.meshHumans
 
dc.subject.meshInfant
 
dc.subject.meshIntubation, Intratracheal - Methods
 
dc.subject.meshMagnetic Resonance Imaging, Cine - Methods
 
dc.subject.meshMale
 
dc.subject.meshRetrospective Studies
 
dc.subject.meshRisk Assessment
 
dc.subject.meshSensitivity And Specificity
 
dc.titleTracheobronchography and angiocardiography of paediatric cardiac patients with airway disorders
 
dc.typeArticle
 
<?xml encoding="utf-8" version="1.0"?>
<item><contributor.author>Cheung, YF</contributor.author>
<contributor.author>Lee, SL</contributor.author>
<contributor.author>Leung, MP</contributor.author>
<contributor.author>Yung, TC</contributor.author>
<contributor.author>Chau, AKT</contributor.author>
<contributor.author>Hui, HKY</contributor.author>
<date.accessioned>2012-10-30T06:07:26Z</date.accessioned>
<date.available>2012-10-30T06:07:26Z</date.available>
<date.issued>2002</date.issued>
<identifier.citation>Journal Of Paediatrics And Child Health, 2002, v. 38 n. 3, p. 258-264</identifier.citation>
<identifier.issn>1034-4810</identifier.issn>
<identifier.uri>http://hdl.handle.net/10722/170316</identifier.uri>
<description.abstract>Objective: We report our experience in combining tracheobronchography and angiocardiography in the assessment of a selected cohort of paediatric cardiac patients with problematic airway disorders. Methodology: The clinical records of 11 patients who underwent 17 studies at a median age of 5.5 months (range 3 months to 10.8 years) were reviewed. Tracheobronchography and angiocardiography were performed under general anaesthesia using a non-ionic contrast agent. The findings were compared with those of flexible bronchoscopy and magnetic resonance imaging (MRI). Results: Seven patients had cardiac lesions associated with vascular anomalies potentially compressing the airway, while four had no identifiable aberrant or enlarged vessels. All examinations but one were performed without complications. Tracheobronchography demonstrated extrinsic vascular compression with secondary airway malacia in three (27%), intrinsic tracheobronchial stenosis in five (45%), and airway malacia in three patients (27%). Precise measurement of the airway calibre and real-time fluoroscopic monitoring facilitated transcatheter tracheobronchial interventions (six balloon dilations, three stent implantations) in four patients. In conjunction with angiocardiography, cine-tracheobronchography provided detailed information on the spatial relationship between vascular and airway structures in all patients; allowed dynamic assessment of airway malacia; and facilitated preoperative planning in six patients. In contrast, bronchoscopy failed to differentiate malacia from extrinsic compression in four patients (36%), while MRI, performed in six patients, was unsatisfactory in one due to a motion artefact and failed to diagnose airway malacia and extrinsic compression in three patients. Conclusions: Tracheobronchography is relatively safe in paediatric cardiac patients. Combined tracheobronchography and angiocardiography, a less operator-dependent imaging modality compared to bronchoscopy and MRI, delineated the airway and vascular anatomy in detail; facilitated preoperative planning; and permitted transcatheter tracheo-bronchial interventions. The dynamic capability of tracheobronchography supplements that of flexible bronchoscopy and MRI in the diagnosis of airway malacia.</description.abstract>
<language>eng</language>
<publisher>Blackwell Publishing Asia. The Journal&apos;s web site is located at http://www.blackwellpublishing.com/journals/JPC</publisher>
<relation.ispartof>Journal of Paediatrics and Child Health</relation.ispartof>
<subject.mesh>Airway Obstruction - Complications - Congenital - Diagnosis</subject.mesh>
<subject.mesh>Angiography - Methods</subject.mesh>
<subject.mesh>Bronchial Diseases - Complications - Diagnosis</subject.mesh>
<subject.mesh>Bronchography - Methods</subject.mesh>
<subject.mesh>Bronchoscopy</subject.mesh>
<subject.mesh>Child</subject.mesh>
<subject.mesh>Child, Preschool</subject.mesh>
<subject.mesh>Cohort Studies</subject.mesh>
<subject.mesh>Female</subject.mesh>
<subject.mesh>Heart Catheterization - Methods</subject.mesh>
<subject.mesh>Heart Defects, Congenital - Complications - Diagnosis</subject.mesh>
<subject.mesh>Hospitals, Pediatric</subject.mesh>
<subject.mesh>Humans</subject.mesh>
<subject.mesh>Infant</subject.mesh>
<subject.mesh>Intubation, Intratracheal - Methods</subject.mesh>
<subject.mesh>Magnetic Resonance Imaging, Cine - Methods</subject.mesh>
<subject.mesh>Male</subject.mesh>
<subject.mesh>Retrospective Studies</subject.mesh>
<subject.mesh>Risk Assessment</subject.mesh>
<subject.mesh>Sensitivity And Specificity</subject.mesh>
<title>Tracheobronchography and angiocardiography of paediatric cardiac patients with airway disorders</title>
<type>Article</type>
<description.nature>link_to_subscribed_fulltext</description.nature>
<identifier.doi>10.1046/j.1440-1754.2002.00774.x</identifier.doi>
<identifier.pmid>12047693</identifier.pmid>
<identifier.scopus>eid_2-s2.0-0036271296</identifier.scopus>
<relation.references>http://www.scopus.com/mlt/select.url?eid=2-s2.0-0036271296&amp;selection=ref&amp;src=s&amp;origin=recordpage</relation.references>
<identifier.volume>38</identifier.volume>
<identifier.issue>3</identifier.issue>
<identifier.spage>258</identifier.spage>
<identifier.epage>264</identifier.epage>
<identifier.isi>WOS:000175907400010</identifier.isi>
<publisher.place>Australia</publisher.place>
</item>
Author Affiliations
  1. The University of Hong Kong