Disorders Related to Lung Transplantation, Graft Failure
Conditions
Brief summary
The procurement of organs from donors after cardiocirculatory death (DCD) is an accepted strategy to increase organ supply.
Detailed description
Aim of the investigation: to compare the clinical outcome after transplantation of subjects receiving lungs procured from donors after cardiocirculatory death reconditioned and assessed by EVLP, with that of subjects receiving lungs procured from brain death donors.
Interventions
Events: application of an open lung protective ventilatory strategy (recruitment manoeuvre, low volume-low frequency ventilation-high PEEP) to the DCD donors; procurement of lungs and cold storage on ice; reconditioning/evaluation by EVLP to assess suitability for transplantation; cold storage on ice; transplantation. Endpoints of suitability: oxygenation, respiratory mechanics, pulmonary vascular resistance, chest X-ray, fibrobronchoscopy
Sponsors
Study design
Eligibility
Inclusion criteria
Lung donors: * subjects with brain death according to neurological or cardiocirculatory criteria * age below 65 yrs * absence of massive lung contusion, aspiration, pneumonia, sepsis * absence of infection, malignancy Recipients: * subjects to undergo single or bilateral lung transplantation * informed consent to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 30 Day Mortality and Graft Survival | 30 days | 30 day mortality and graft survival is used as a standard research measure to evaluate post transplant outcome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of mechanical ventilation after transplantation | 30 days | — |
| ICU length of stay after transplantation | 30 days | — |
| Primary Graft Dysfunction 72 hours After Transplantation | 72 hours | Primary Graft Dysfunction 72 hours after transplantation definition: grade 3 according to the International Society of Heart and Lung Transplantation classification |
Other
| Measure | Time frame |
|---|---|
| Bronchiolitis Obliterans Syndrome (BOS) | 12 months |
Countries
Italy