Incidence and Influencing Factors of Venous Thromboembolism after Lung Transplantation
1Pulmonary and Critical Care Medicine, Wuxi People’s Hospital, Wuxi, China, 2Thoracic Surgery, Wuxi People’s Hospital, Wuxi, China, 3Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, China
Meeting: 2020 American Transplant Congress
Abstract number: C-303
Keywords: Lung transplantation, Post-operative complications
Session Information
Session Name: Poster Session C: Lung: All Topics
Session Type: Poster Session
Date: Saturday, May 30, 2020
Session Time: 3:15pm-4:00pm
Presentation Time: 3:30pm-4:00pm
Location: Virtual
*Purpose: To analyze the incidence and influencing factors of venous thromboembolism (VTE) after lung transplantation.
*Methods: This study retrospectively analyzed the clinical data of 375 lung transplant patients from January 2015 to December 2017 in Wuxi People’s Hospital. Every patient was classified into the VTE group or the non-VTE group according to whether the patient had VTE or not. Basic information like age, type of surgical procedure etc. was compared between two groups. The prevention and treatment of VTE between two groups were also compared. Furthermore, multivariate Logistic regression analysis was used to analyze the influence of related factors on the occurrence of postoperative VTE. Deep venous thrombosis (DVT) was diagnosed with vascular ultrasonography, and pulmonary thromboembolism (PTE) was diagnosed with CT pulmonary angiogram, nuclear ventilation/perfusion scanning, or pulmonary angiography.
*Results: This study included 316 lung transplant patients. VTE occurred in 19 patients (6.0%) during perioperative and follow-up period. The age of the VTE group was significantly higher than that of the non-VTE group (63.4±11.9 vs 54.3±13.0, P=0.003). The proportion of single lung transplantation in the VTE group was significantly higher than that in the non-VTE group (78.9% vs 48.5%, P=0.010). The incidence of VTE in patients without prevention was significantly higher than that in patients with prevention (15.0% vs 1.9%, P<0.001). Single lung transplantation (OR=4.425, P=0.018), duration in intensive care unit (ICU) (OR=1.396, P=0.001) and age (OR=1.080, P=0.005) were independent risk factors for VTE after lung transplantation.
*Conclusions: The incidence of VTE after lung transplantation is high. Single lung transplantation, prolonged duration of ICU stay and advanced age increase the risk of VTE after lung transplantation.
To cite this abstract in AMA style:
Fan L, Chen J, Wu B, Zhai Z. Incidence and Influencing Factors of Venous Thromboembolism after Lung Transplantation [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/incidence-and-influencing-factors-of-venous-thromboembolism-after-lung-transplantation/. Accessed May 10, 2025.« Back to 2020 American Transplant Congress