| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
1 The Lung Transplant Unit, St Vincent's Hospital, Sydney, New South Wales, Australia. 2 The Chest Service, Erasme University Hospital, Brussels, Belgium
CORRESPONDENCE: A.R. Glanville, The Lung Transplant Unit, Xavier 4, St Vincent's Hospital, Victoria Street, Darlinghurst, Sydney, NSW 2010, Australia. Fax: 61 293324267. E-mail: aglanville@stvincents.com.au
Keywords: indications, lung transplantation, referral, selection criteria
Received: April 8, 2003
Accepted April 9, 2003
Abstract
Lung transplantation (LTx) is now generally accepted as a useful modality of care for patients with severe life-threatening respiratory diseases that are refractory to other medical or surgical therapies. With the huge development of LTx over the last 15 yrs, the disparity between the number of potential recipients and the number of donor organs available has become a major constraint, with many patients dying on the waiting lists. Therefore, it is of primary importance to control and optimise the use of this limited organ resource by weighting the risks and benefits of transplantation in individual patients, and to identify those patients who have a better chance of having a favourable outcome with transplantation.
This article discusses the selection process of potential candidates and the currently accepted absolute and relative contraindications, and proposes general and disease-specific recommendations for optimising the timing of referral. Early referral for consideration of lung transplantation is highly desirable as it enhances the patient's chance of surviving to transplant and allows the transplant team to actively manage identified comorbidities during the waiting period.
This article has been cited by other articles:
|
|
 |
|
  A. R. Glanville, C. L. Aboyoun, A. Havryk, M. Plit, S. Rainer, and M. A. Malouf Severity of Lymphocytic Bronchiolitis Predicts Long-Term Outcome after Lung Transplantation Am. J. Respir. Crit. Care Med., May 1, 2008; 177(9): 1033 - 1040. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. W. Smith, H. Wang, V. Parini, J. S. Zolak, K. R. Shen, T. M. Daniel, M. K. Robbins, C. G. Tribble, I. L. Kron, and D. R. Jones Lung Transplantation in Patients 60 Years and Older: Results, Complications, and Outcomes Ann. Thorac. Surg., November 1, 2006; 82(5): 1835 - 1841. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. De Troyer and D. Leduc Effects of single-lung inflation on inspiratory muscle function in dogs J. Physiol., October 1, 2006; 576(1): 269 - 277. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F Dobbels, G Verleden, L Dupont, J Vanhaecke, and S De Geest To transplant or not? The importance of psychosocial and behavioural factors before lung transplantation Chronic Respiratory Disease, January 1, 2006; 3(1): 39 - 47. [Abstract] [PDF]
|
|
|
|
|
|
A R Glanville Ethical and equity issues in lung transplantation and lung volume reduction surgery Chronic Respiratory Disease, January 1, 2006; 3(1): 53 - 58. [Abstract] [PDF]
|
|
|
|
 |
|
 O. A. Minai and M. M. Budev Referral for Lung Transplantation: A Moving Target Chest, March 1, 2005; 127(3): 705 - 707. [Full Text] [PDF]
|
|
|
|
 |
|
 R.D. Levy, M. Estenne, W. Weder, and M.G. Cosio Lung transplantation: beyond palliation Eur. Respir. J., November 1, 2003; 22(5): 721 - 722. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
