Perioperative medicine & outcomes
Perioperative Anesthetic Considerations for Catheter-Based Pulmonary Vein Interventions in Fibrosing Mediastinitis
Authors' conclusion
Patients with FM can achieve successful intraprocedural outcomes by ensuring a comprehensive understanding of the disease, addressing significant anesthetic concerns and considerations, and engaging a multidisciplinary team.
Study context
- Population
- Patients with fibrosing mediastinitis undergoing catheter-based interventions for pulmonary vein stenosis, January 2020 to April 2024chart review
- Participants
- 14 patients
- Outcome
- Uncomplicated perioperative course and unanticipated postoperative ICU care
Methodological detailschart review
- Chart review
Main finding
As reported in the abstract
- Uncomplicated patients
- Eleven of 18 (61%)
- Unanticipated postoperative ICU care
- Four of 18 (22%)
- ICU care in the setting of pulmonary hemorrhage
- 2 (11%)
- ICU care due to hypoxic respiratory failure
- 1
- ICU care due to difficult airway
- 1
Observational data: associations, not effects.
Safety
- ICU admission due to pulmonary hemorrhage
- 2 (11%)
- ICU admission due to hypoxic respiratory failure
- 1
- ICU admission due to difficult airway
- 1
- Self-limiting postoperative hemoptysis on 2 occasions
- 1
- Vascular access-related complication
- 1
- Massive hemoptysis at 6 weeks (likely pulmonary vein rupture), died after protracted ICU course
- 1
Original publication
Perioperative Anesthetic Considerations for Catheter-Based Pulmonary Vein Interventions in Fibrosing Mediastinitis. J Cardiothorac Vasc Anesth. Published 20 September 2024. doi:10.
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