Practical Guidelines: Lung Transplantation in Patients with Cystic Fibrosis

Pulmonary Medicine - Tập 2014 - Trang 1-22 - 2014
Tim O. Hirche1, Christian Benden2, Helge Hebestreit3, D. Shimmin4, Amparó Solé5, J.S. Elborn6, Helmut Ellemunter7, Paul Aurora8, Michael Hogardt9, Thomas Wagner10,11, ECORN-CF Study Group10
1Department of Pulmonary Medicine, German Clinic for Diagnostics (DKD), Wiesbaden, Germany
2Department of Chest Medicine, Erasme University Hospital, Brussels, Belgium
3Department of Pediatrics, University Hospital Wuerzburg, Germany
4Regional Adult CF Centre, Belfast City Hospital, Belfast, UK
5Lung Transplant Unit, Hospital Universitario La Fe, Valencia, Spain.
6Centre for Infection and Immunity, Queens University, Belfast and Adult CF Centre BHSCT, UK
7Cystic Fibrosis Center, Department of Pediatrics, Medical University Innsbruck, Innsbruck, Austria
8Paediatric Respiratory Medicine and Lung Transplantation, Great Ormond Street Hospital, London, UK
9Institute for Medical Microbiology and Infection Control, Goethe University Hospital Frankfurt, Germany
10Department of Pneumology, Frankfurt University Hospital, Building 15B,Theodor-Stern-Kai 7, 60590 Frankfurt, Germany
11Department of Pneumology, Goethe University Hospital Frankfurt, Germany

Tóm tắt

There are no European recommendations on issues specifically related to lung transplantation (LTX) in cystic fibrosis (CF). The main goal of this paper is to provide CF care team members with clinically relevant CF-specific information on all aspects of LTX, highlighting areas of consensus and controversy throughout Europe. Bilateral lung transplantation has been shown to be an important therapeutic option for end-stage CF pulmonary disease. Transplant function and patient survival after transplantation are better than in most other indications for this procedure. Attention though has to be paid to pretransplant morbidity, time for referral, evaluation, indication, and contraindication in children and in adults. This review makes extensive use of specific evidence in the field of lung transplantation in CF patients and addresses all issues of practical importance. The requirements of pre-, peri-, and postoperative management are discussed in detail including bridging to transplant and postoperative complications, immune suppression, chronic allograft dysfunction, infection, and malignancies being the most important. Among the contributors to this guiding information are 19 members of the ECORN-CF project and other experts. The document is endorsed by the European Cystic Fibrosis Society and sponsored by the Christiane Herzog Foundation.

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Pulmonary Medicine

Tập 2014

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