{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T03:20:15Z","timestamp":1788405615645,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T00:00:00Z","timestamp":1563840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Cardiac Surgery"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Anastomotic complications occur in 7% to 18% of lung transplant recipients, among which airway dehiscence (AD) is particularly catastrophic. Using multi\u2010institutional registry data, this study compared preoperative recipient\/donor risk factors and outcomes in patients with and without AD and analyzed the effect of extracorporeal membrane oxygenation (ECMO) on the incidence of AD.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    Data on adult lung transplants from 2007 to 2017 were provided by the Scientific Registry of Transplant Recipients. Patients receiving isolated lobar transplantation and patients with unknown AD status were excluded. Multivariable logistic regression identified independent risk factors for AD. Kaplan\u2010Meier curves and log\u2010rank tests describe mortality and graft survival.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Of 18\u2009122 lung transplants, 275 (1.5%) experienced AD. While the incidence of ECMO steadily increased from 0.7% to 5.9% over the study period, the incidence of AD remained relatively constant. Multivariable analysis revealed recipient male gender and prolonged (\u2009&gt;\u200948\u2009hours) posttransplant mechanical ventilation as independent predictive factors for AD, while advanced donor age and single left lung transplant were protective factors. Recipient chronic steroid use, recipient diabetes, donor diabetes, and donor smoking history were not predictive of AD. Mortality and graft failure were significantly worse in the AD group.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Despite increased ECMO utilization, the incidence of AD has remained stable. Multiple independent risk factors for AD were identified and poor postoperative outcomes confirmed. However, many known impediments to wound healing such as recipient chronic steroid use, recipient and donor diabetes, and donor smoking were not identified as risk factors for AD, reinforcing the critical role of technical performance.\n                  <\/jats:p>","DOI":"10.1111\/jocs.14157","type":"journal-article","created":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T10:32:08Z","timestamp":1563877928000},"page":"933-940","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Early airway dehiscence: Risk factors and outcomes with the rising incidence of extracorporeal membrane oxygenation as a bridge to lung transplantation"],"prefix":"10.1155","volume":"34","author":[{"given":"Jad","family":"Malas","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Division of Cardiac Surgery NYU Langone Health  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9842-5853","authenticated-orcid":false,"given":"Neel K.","family":"Ranganath","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Division of Cardiac Surgery NYU Langone Health  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine G.","family":"Phillips","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Division of Cardiac Surgery NYU Langone Health  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory J.","family":"Bittle","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery University of Maryland Medical Center  Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Hisamoto","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Division of Cardiac Surgery NYU Langone Health  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deane E.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Division of Cardiac Surgery NYU Langone Health  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa B.","family":"Lesko","sequence":"additional","affiliation":[{"name":"Department of Medicine NYU Langone Health  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis F.","family":"Angel","sequence":"additional","affiliation":[{"name":"Department of Medicine NYU Langone Health  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonnie E.","family":"Lonze","sequence":"additional","affiliation":[{"name":"Department of Surgery, Transplant Institute NYU Langone Health  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary N.","family":"Kon","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Division of Cardiac Surgery NYU Langone Health  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,23]]},"reference":[{"key":"e_1_2_9_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.03.031"},{"key":"e_1_2_9_1_3_1","doi-asserted-by":"publisher","DOI":"10.1513\/pats.200808-094GO"},{"key":"e_1_2_9_1_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1963.63710120001010"},{"key":"e_1_2_9_1_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198605013141802"},{"key":"e_1_2_9_1_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)65544-0"},{"key":"e_1_2_9_1_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2008.09.035"},{"key":"e_1_2_9_1_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(94)91038-3"},{"key":"e_1_2_9_1_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(97)83852-0"},{"key":"e_1_2_9_1_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(95)70065-X"},{"key":"e_1_2_9_1_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezv363"},{"key":"e_1_2_9_1_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2016.04.019"},{"key":"e_1_2_9_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)36439-6"},{"key":"e_1_2_9_1_14_1","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1016\/S0022-5223(19)38215-7","article-title":"Effect of donor bronchial length on healing: a canine model to evaluate bronchial anastomotic problems in lung transplantation","volume":"77","author":"Pinsker KL","year":"1979","journal-title":"J Thorac Cardiovasc Surg"},{"key":"e_1_2_9_1_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197004000-00012"},{"key":"e_1_2_9_1_16_1","doi-asserted-by":"crossref","first-page":"81G25","DOI":"10.1016\/S0022-5223(19)36651-6","article-title":"Single lung transplantation. 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