The maximum dimension of the inferior vena cava is a significant predictor of postoperative mortality in lung cancer patients with idiopathic interstitial pneumonia

• Published in: Surgery today (Tokyo, Japan) Japan), 2019-06, Vol.49 (6), p.467-473
• Main Authors: Fukui, Mariko, Takamochi, Kazuya, Suzuki, Kazuhiro, Hotta, Akihiro, Ando, Katsutoshi, Matsunaga, Takeshi, Oh, Shiaki, Kawagoe, Izumi, Suzuki, Kenji
• Format: Article
• Language: English
• Subjects: Aged; Analysis of Variance; Female; Forecasting; Humans; Idiopathic Interstitial Pneumonias - complications; Idiopathic Interstitial Pneumonias - diagnostic imaging; Lung Neoplasms - complications; Lung Neoplasms - diagnostic imaging; Lung Neoplasms - mortality; Lung Neoplasms - surgery; Male; Medicine; Medicine & Public Health; Middle Aged; Neoplasm Staging; Original Article; Postoperative Period; Retrospective Studies; Surgery; Surgical Oncology; Thoracic Surgical Procedures - mortality; Time Factors; Tomography, X-Ray Computed; Vena Cava, Inferior - diagnostic imaging; Vena Cava, Inferior - pathology
• ISSN: 0941-1291; 1436-2813
• DOI: 10.1007/s00595-018-1757-1

Purpose Several vascular measurements in computed tomography (CT) were reported to be indicators of pulmonary hypertension in chronic obstructive pulmonary disease (COPD) patients. We evaluated the usefulness of these parameters as predictors of postoperative mortality in lung cancer patients with IIP. Methods This retrospective study was performed on 1888 patients. The following CT findings were evaluated: diameter of the main pulmonary artery, ascending aorta, and the short axis of the inferior vena cava (IVC). Univariate and multivariate analyses were conducted to determine predictors of surgical mortality. Results In the IIP patients, the 90-day mortality was 0.8%, and the 2-year mortality was 5.8%. Regarding the 90-day mortality in patients with IIP, a multivariate analysis revealed a short axis of IVC > 21 mm [odds ratio (OR) 6.4, p   21 mm (OR 2.3, p