Assessing the role of tracheostomy placement in bronchopulmonary dysplasia with pulmonary hypertension

Timothy D Hicks; Julian Cameron; Shuo Wang; Amir Ashrafi; Jacqueline Szmuszkovicz; Narayan Iyer; Manvi Bansal

doi:10.1038/s41372-024-01881-y

Assessing the role of tracheostomy placement in bronchopulmonary dysplasia with pulmonary hypertension

J Perinatol. 2024 Feb 5. doi: 10.1038/s41372-024-01881-y. Online ahead of print.

Authors

Timothy D Hicks^{1

2}, Julian Cameron³, Shuo Wang³, Amir Ashrafi⁴, Jacqueline Szmuszkovicz³, Narayan Iyer³, Manvi Bansal³

Affiliations

¹ Children's Hospital Los Angeles, Los Angeles, CA, USA. Timothy.Hicks@choc.org.
² Children's Hospital Orange County, Orange, CA, USA. Timothy.Hicks@choc.org.
³ Children's Hospital Los Angeles, Los Angeles, CA, USA.
⁴ Children's Hospital Orange County, Orange, CA, USA.

PMID: 38316933
DOI: 10.1038/s41372-024-01881-y

Abstract

Objective: Bronchopulmonary dysplasia (BPD) is a common complication of preterm birth and is associated with abnormal vasculature that contributes to pulmonary hypertension (PH). We evaluated how a tracheostomy may alter PH in these patients.

Methods: A retrospective chart review over 15-years identified 17 patients with BPD and PH who underwent tracheostomy. Each patient had four echocardiograms re-reviewed and scored for tricuspid valve regurgitation velocity (TR), tricuspid annular plane systolic excursion (TAPSE), right atrial cross-sectional area (RACA), and left ventricle eccentricity indices (EI).

Result: There was improvement in TR, TAPSE, RACA, and left ventricle EI indicating reduction in PH after tracheostomy.

Conclusion: PH improves over time though role of tracheostomy in PH needs to be further defined. The EI may be a sensitive marker to follow over time in these patients.