Evidence map›Paper›PMID 40820197›Full record

ArticlePediatric surgery international2025

What evaluation criteria for prophylactic innominate artery transection were appropriate in the neurologically impaired patients who require laryngotracheal separation?

Naruki Higashidate, Naoki Hashizume, Yoshinori Koga, Daisuke Masui, Saki Sakamoto, Tomohiro Kurahachi, Hiroki Yoshida, Tatsuru Kaji

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Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Naruki HigashidateDepartment of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. higashidate_naruki@kurume-u.ac.jp.
Naoki HashizumeDepartment of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Yoshinori KogaDepartment of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Daisuke MasuiDepartment of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Saki SakamotoDepartment of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Tomohiro KurahachiDepartment of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Hiroki YoshidaDepartment of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Tatsuru KajiDepartment of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to analyze laryngotracheal separation (LTS) outcomes and evaluate the efficacy of the evaluation criteria for prophylactic innominate artery transection (PIAT) in neurologically impaired patients.

methods67 patients who underwent LTS were reviewed. They were divided into three groups: patients without a tracheostomy tube (TT) (Group 1), patients with a TT but without PIAT (Group 2) and patients with TT and PIAT (Group 3). The length between the dorsal edge of the sternum and ventral edge of the vertebra (D-to-V), tracheal flattening ratio (TFR), and mediastinum-thoracic anteroposterior ratio (MTR), as evaluation criteria for PIAT based on the previous studies were measured.

results62 patients [F/M = 25/37, Group 1 (n = 27), Group 2 (n = 29), and Group 3 (n = 6)] were analyzed. Three patients in Group 3 underwent PIAT after LTS due to intratracheal granuloma and minor bleeding. The TFR in Group 3 was significantly lower than that in Group 1 and 2 (p = 0.0236, 0.0054). The proportions of patients who met the criteria for PIAT were 5cases (8.06%) assessed by D-to-V, 21cases (33.87%) by TFR, and 37cases (59.68%) by MTR.

conclusionD-to-V would be the efficient criteria for PIAT and low TFR and MTR patients should be followed up carefully.

Indexed as

Brachiocephalic TrunkLarynxTracheaAdolescentChildChild, PreschoolFemaleHumansInfantMaleRetrospective StudiesTracheostomyTreatment OutcomeLaryngotracheal separationNeurological impairmentProphylactic innominate artery transectionTracheoinnominate artery fistula

Identifiers

PMID40820197

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.