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Paper

Long-term Outcomes of Lung Transplant With Ex Vivo Lung Perfusion

Evidence level: retrospective single-centre cohort; abstract-only

A Toronto cohort study comparing long-term CLAD incidence and allograft survival after transplant with and without ex vivo lung perfusion (EVLP).

As of . Primary source: Publisher record via DOI.

Summary

This retrospective single-centre cohort study at the Toronto Lung Transplant Program covered transplants from August 2008 to February 2017, with 706 recipients of lungs not treated with EVLP and 230 recipients of lungs treated with EVLP. The primary outcomes were the incidence of CLAD and allograft survival. According to the abstract, there was no significant difference between the groups in time to CLAD or in allograft survival, and secondary outcomes were similar. The authors conclude that use of EVLP-treated lungs increased the number of patients undergoing transplantation, with comparable long-term outcomes. This is an observational comparison and does not show cause and effect.

Details

doi
10.1001/jamasurg.2019.4079
pmid
31596484
authors
Divithotawela C, Cypel M, Martinu T, Singer LG, Binnie M, Chow CW, Chaparro C, Waddell TK, de Perrot M, Pierre A, Yasufuku K, Yeung JC, Donahoe L, Keshavjee S, Tikkanen JM
journal
JAMA Surgery
year
2019
volume
154
issue
12
pages
1143

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Information resource only. Not medical advice. Not a substitute for the care of the patient's transplant team.