Lung Transplantation for Cystic Fibrosis

被引:34
|
作者
Morrell, Matthew R. [1 ]
Pilewski, Joseph M. [1 ,2 ,3 ]
机构
[1] Univ Pittsburgh, Med Ctr, Lung Transplant Program, NW628 MUH,3459 Fifth Ave, Pittsburgh, PA 15213 USA
[2] Childrens Hosp Pittsburgh UPMC, Adult Cyst Fibrosis Program, NW628 MUH,3459 Fifth Ave, Pittsburgh, PA 15213 USA
[3] Univ Pittsburgh, Med Ctr, NW628 MUH,3459 Fifth Ave, Pittsburgh, PA 15213 USA
关键词
Lung transplantation; Cystic fibrosis; Advanced lung disease; Respiratory failure; Burkholderia cepacia; Nontuberculous mycobacteria; QUALITY-OF-LIFE; EXTRACORPOREAL MEMBRANE-OXYGENATION; BRONCHIOLITIS OBLITERANS SYNDROME; PSEUDOMONAL AIRWAY COLONIZATION; BURKHOLDERIA-CEPACIA-COMPLEX; NONTUBERCULOUS-MYCOBACTERIA; PANRESISTANT BACTERIA; INTERNATIONAL SOCIETY; MIDTERM OUTCOMES; ALLOCATION SCORE;
D O I
10.1016/j.ccm.2015.11.008
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Lung transplantation is a viable option for many patients with cystic fibrosis (CF) and end-stage lung disease. Criteria for transplant in patients with CF vary widely among transplant centers in terms of acceptable comorbidities; referral to multiple centers may be necessary to maximize patient opportunity for this potentially life-prolonging intervention. Early referral is critical to patient education and modification of risk factors associated with worse outcomes. If transplant evaluation has been completed, patients with CF and respiratory failure requiring mechanical ventilation and extracorporeal membrane oxygenation may remain viable candidates for transplant with outcomes comparable to other individuals with CF.
引用
收藏
页码:127 / +
页数:14
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