Lung transplantation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Recipient: (1) Male or female patient requiring single or bilateral lung transplant; (2) 18 years of age or older; (3) Can provide informed consent. 2. Pre-EVLP Donor: (1) PaO2/FiO2 lower or equal 300 mmHg; (2) Or PaO2/FiO2 > 300 mmHg and one or more of the following: Multiple blood transfusions (more or equal to 10 units); Pulmonary edema; Donation after circulatory death; Deemed unsuitable by PI (such as pulmonary embolism, atelectasis and so on); 3. Post-EVLP: (1) Surgeon clinically satisfied; (2) Stability or improvement in PVR, compliance, and airway pressures; (3) Two delta PO2 more or equal 350 mmHg (do not have to be consecutive); (4) Or at least three of the following: One delta PO2 more or equal 350 or absolute PO2 more or equal 400 Chest x-ray finding with absence or improvement of edema/infiltrates; Compliance-static (> 35 single, > 60 double); No consolidation on palpation.
Exclusion criteria
Exclusion criteria: 1. Pre-EVLP Donor: (1) Significant active pneumonia and/or purulent secretions on bronchoscopy or as determined by investigator; (2) Significant aspiration of gastric contents within the lung; (3) Significant mechanical lung injury or trauma determined by chest x-ray, bronchoscopy, CT scan or visual inspection; (4) Active infectious disease (HIV, Hep B, Hep C, Syphilis); 2. Post-EVLP: (1) All delta PO2 s 10-15% functional deterioration of other lung functions with chest x-ray showing deterioration; (4) Positive for infectious disease (HIV, Hep B, Hep C, Syphilis and other infections).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of primary graft dysfunction occurs; | — |
Secondary
| Measure | Time frame |
|---|---|
| Primary graft dysfunction score;Forced expiratory volume in first second;Mortality;Complications after lung transplantation;Length of stay in ICU;Length of stay; | — |
Countries
China
Contacts
Shanghai Pulmonary Hospital