%0 Journal Article %A Christian Lang %A Panja M Boehm %A Peter Jaksch %A Gabriella Muraközy %A Alberto Benazzo %A Stefan Schwarz %A Thomas Schweiger %A Peter-David Berend %A György Lang %A Jose R. Matilla %A Mir Alireza Hoda %A Bernhard Moser %A Shahrokh Taghavi %A Walter Klepetko %A Konrad Hoetzenecker %T Lung transplantation for COVID-19 induced ARDS: a single-center experience %D 2021 %R 10.1183/13993003.congress-2021.PA3491 %J European Respiratory Journal %P PA3491 %V 58 %N suppl 65 %X Introduction: The world-wide experience with lung transplantation (LT) for COVID-19 induced ARDS is limited and it is unknown if and when such a treatment should be offered.Aims & Methods: Aim of the study was a) to highlight the proportion of COVID-19 ARDS patients who can be considered for LT and b) to assess the outcome after LT. Clinical data were collected for COVID-19 patients who had been referred to our institution for the evaluation of a LT (Figure 1). For the subgroup of transplanted patients, postoperative outcome was determined (30-days survival rate, length of ICU stay and overall survival in days).Findings: Until February 2021, 48 patients were referred to our center. 28 (58%) were rejected due to comorbidities, 8 (17%) were considered too good and recovered without LT. 8 (17%) patients underwent bilateral LT, 4 (8%) additional candidates were still under evaluation for LT. 30-days survival rate after LT was 100% with a median length of ICU stay of 59 (55-63) days. With a follow up ranging between 14 and 275 days, all transplanted patients are alive.Conclusion: LT is feasible for COVID-19 induced ARDS and should be considered for carefully selected patients with irreversible lung injury. FootnotesCite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3491.This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only). %U