Respiratory Tract Diseases
Conditions
Keywords
cystic fibrosis, chronic obstructive pulmonary disease, pulmonary fibrosis
Brief summary
Only about 15% of the potential candidates for lung donation are considered suitable for transplantation. A new method for ex vivo lung perfusion (EVLP) has been developed and can be used for evaluation and reconditioning of marginal and unacceptable lungs. The ´purpose of this study is to analyse the executability and safety of ex vivo lung perfusion pulmonary ex vivo in marginal donors.
Detailed description
Donor Inclusion criteria: * Age \< 55 years-old; * Smoking history \< 20 pack-year; * Clear chest radiograph; * Absence of significant chest trauma; * Absence of purulent secretions and gastric contents at bronchoscopy; * PaO2 \< 300 mm Hg (FIO2 1.0, PEEP 5 cmH2O) Exclusion criteria: * Lungs presenting PO2 \< 400 mmHg after ex vivo lung perfusion
Interventions
Evaluation and reconditioning of lungs following lung transplantation
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \< 55 years-old; * Smoking history \< 20 pack-year; * Clear chest radiograph; * Absence of significant chest trauma; * Absence of purulent secretions and gastric contents at bronchoscopy; * PaO2 \< 300 mm Hg (FIO2 1.0, PEEP 5 cmH2O)
Exclusion criteria
* Lungs presenting PO2 \< 400 mmHg after ex vivo lung perfusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 30-days mortality | 30 days after ex vivo lung transplantation |
| Respiratory complications (primary graft dysfunction, infection, rejection, bronchiolitis obliterates syndrome) | 30 days after the ex vivo lung transplantation |
| 12-months survival | 12 months survival after ex vivo lung transplantation |
Secondary
| Measure | Time frame |
|---|---|
| Oxygenation index (PaO2/FiO2)on ICU arrival and 72 hours | 72 hours after ex vivo lung transplantation |
| Non-respiratory complications (arrhythmia, renal failure, sepsis) | 30 days after ex vivo lung transplantation |
| Mechanical ventilation time | 30 days after ex vivo lung transplantation |
| Hospital and ICU time of stay | 12 months after ex vivo lung transplantation |
Countries
Brazil