Lung Retransplantation

被引：3
|
作者：
Michel, Eriberto [1 ]
Hartwig, Matthew Galen [2 ]
Sommer, Wiebke [3 ]
机构：
[1] Massachusetts Gen Hosp, Dept Surg, Div Cardiac Surg, 55 Fruit St,Cox 630, Boston, MA 02114 USA
[2] Duke Univ Sch Med, Dept Surg, Div Cardiovasc & Thorac Surg, DUMC 3863, Durham, NC 27710 USA
[3] Heidelberg Univ, Dept Cardiac Surg, Neuenheimer Feld 420, D-69120 Heidelberg, Germany
来源：
THORACIC SURGERY CLINICS | 2022年 / 32卷 / 02期
关键词：
Lung transplantation; Retransplantation; Redo lung transplant; Chronic lung allograft dysfunction; EXTRACORPOREAL MEMBRANE-OXYGENATION; DONOR-SPECIFIC ANTIBODIES; RESTRICTIVE ALLOGRAFT SYNDROME; INTERNATIONAL-SOCIETY; TRANSPLANT REPORT-2014; MEDIATED REJECTION; CLINICAL-OUTCOMES; BLOOD-TRANSFUSION; CONSENSUS REPORT; RISK-FACTORS;
D O I：
10.1016/j.thorsurg.2021.12.001
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
Lung retransplantation remains the standard treatment of irreversible lung allograft failure. The most common indications for lung retransplantation are acute graft failure, chronic lung allograft dysfunction, and postoperative airway complications. Careful patient selection with regards to indications, anatomy, extrapulmonary organ dysfunction (specifically renal dysfunction), and immunologic consideration are of utmost importance. The conduct of the lung retransplantation operation is arduous with special considerations given to operative approach, type of surgery (single vs bilateral), use of extracorporeal circulatory support, and hematological management. Outcomes have improved significantly for most patients, nearing short and midterm outcomes of primary lung recipients in select cases. Copyright © 2021 Elsevier Inc. All rights reserved.
引用
收藏
页码：259 / 268
页数：10
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