Mechanical Circulatory Support as a Bridge to Lung Transplantation: A Single Canadian Institution Review
Joint Authors
Halloran, Kieran
Nagendran, Jayan
Kinaschuk, Katie
Bozso, Sabin J.
Kapasi, Ali
Jackson, Kathy
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-08-29
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Lung transplant (LTx) waitlists continue to grow internationally.
Consequently, more patients are progressing to require mechanical circulatory support (MCS) as a bridge to transplantation (BTT).
MCS strategies include interventional lung assist (iLA) and venovenous (VV) and venoarterial (VA) extracorporeal membrane oxygenation (ECMO).
We review our series of patients bridged with MCS while listed for LTx.
Methods.
All consecutive patients, listed for LTx requiring MCS as a BTT at the University of Alberta from 2004 to 2015, were included.
Patient demographics and outcomes were compared for the 3 groups (iLA, VV-ECMO, and VA-ECMO).
Results.
Of the 24 patients supported with MCS devices, 17 were successfully transplanted and 7 died waiting.
In total, 25% (n=6) were bridged with VA-ECMO, 54% (n=13) with VV-ECMO, and 21% (n=5) with iLA.
Overall, 71% of patients were bridged successfully to LTx.
The 1-year survival posttransplantation was 88%.
Conclusion.
We have demonstrated the feasibility of utilizing the MCS modalities of VA-ECMO, VV-ECMO, and most recently iLA, as a BTT.
MCS is a viable strategy for BTT, offering improved survival outcomes for decompensating adult patients awaiting LTx, resulting in excellent survival posttransplantation.
American Psychological Association (APA)
Kinaschuk, Katie& Bozso, Sabin J.& Halloran, Kieran& Kapasi, Ali& Jackson, Kathy& Nagendran, Jayan. 2017. Mechanical Circulatory Support as a Bridge to Lung Transplantation: A Single Canadian Institution Review. Canadian Respiratory Journal،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1150831
Modern Language Association (MLA)
Kinaschuk, Katie…[et al.]. Mechanical Circulatory Support as a Bridge to Lung Transplantation: A Single Canadian Institution Review. Canadian Respiratory Journal No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1150831
American Medical Association (AMA)
Kinaschuk, Katie& Bozso, Sabin J.& Halloran, Kieran& Kapasi, Ali& Jackson, Kathy& Nagendran, Jayan. Mechanical Circulatory Support as a Bridge to Lung Transplantation: A Single Canadian Institution Review. Canadian Respiratory Journal. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1150831
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150831