Improved Results Over Time With Bridge-to-Lung Transplantation: A 10-Year Experience of a Single High-Volume Center
When donor scarcity limits timely lung transplantation (LTx), extracorporeal membrane oxygenation (ECMO) as a bridge to transplantation (BTT) can prolong survival and delay deconditioning until the donor lungs become available. We reviewed 10-year BTT experiences of a single high-volume center, wher...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-01-01
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| Series: | Transplant International |
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| Online Access: | https://www.frontierspartnerships.org/articles/10.3389/ti.2025.13944/full |
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| author | Gyungah Kim Jee Hwan Ahn Tae Sun Shim Pil-Je Kang Geun Dong Lee Sehoon Choi Won Kim Sung-Ho Jung Dong Kwan Kim Seung-Il Park Sang-Bum Hong |
| author_facet | Gyungah Kim Jee Hwan Ahn Tae Sun Shim Pil-Je Kang Geun Dong Lee Sehoon Choi Won Kim Sung-Ho Jung Dong Kwan Kim Seung-Il Park Sang-Bum Hong |
| author_sort | Gyungah Kim |
| collection | DOAJ |
| description | When donor scarcity limits timely lung transplantation (LTx), extracorporeal membrane oxygenation (ECMO) as a bridge to transplantation (BTT) can prolong survival and delay deconditioning until the donor lungs become available. We reviewed 10-year BTT experiences of a single high-volume center, where 99 (59%) were on ECMO BTT among 169 eligible adult LTx cases. Both 28-day and 2-year survivals did not differ between BTT and non-BTT. The BTT data was then divided into two periods, delineated by the most recent 3 years. The clinical outcomes of the earlier period (“Period 1”) and the later period (“Period 2”) were compared, and mortality within 28 days of LTx was significantly lower in Period 2 (n = 1, 1.7%) than in Period 1 (n = 6, 14.6%, p < 0.01). Improved survival was observed in the subgroup with BTT duration of 14 days or more. Taken together, more experiences in BTT and improved competence may contribute to better survival after LTx, especially in patients receiving ECMO for 14 days or more. |
| format | Article |
| id | doaj-art-488763ddd5c246988e05a1282266c9b0 |
| institution | Kabale University |
| issn | 1432-2277 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Transplant International |
| spelling | doaj-art-488763ddd5c246988e05a1282266c9b02025-01-30T04:11:43ZengFrontiers Media S.A.Transplant International1432-22772025-01-013810.3389/ti.2025.1394413944Improved Results Over Time With Bridge-to-Lung Transplantation: A 10-Year Experience of a Single High-Volume CenterGyungah KimJee Hwan AhnTae Sun ShimPil-Je KangGeun Dong LeeSehoon ChoiWon KimSung-Ho JungDong Kwan KimSeung-Il ParkSang-Bum HongWhen donor scarcity limits timely lung transplantation (LTx), extracorporeal membrane oxygenation (ECMO) as a bridge to transplantation (BTT) can prolong survival and delay deconditioning until the donor lungs become available. We reviewed 10-year BTT experiences of a single high-volume center, where 99 (59%) were on ECMO BTT among 169 eligible adult LTx cases. Both 28-day and 2-year survivals did not differ between BTT and non-BTT. The BTT data was then divided into two periods, delineated by the most recent 3 years. The clinical outcomes of the earlier period (“Period 1”) and the later period (“Period 2”) were compared, and mortality within 28 days of LTx was significantly lower in Period 2 (n = 1, 1.7%) than in Period 1 (n = 6, 14.6%, p < 0.01). Improved survival was observed in the subgroup with BTT duration of 14 days or more. Taken together, more experiences in BTT and improved competence may contribute to better survival after LTx, especially in patients receiving ECMO for 14 days or more.https://www.frontierspartnerships.org/articles/10.3389/ti.2025.13944/fulllung transplantationbridge to transplantationextracorporeal membrane oxygenationlearning curveECMO duration |
| spellingShingle | Gyungah Kim Jee Hwan Ahn Tae Sun Shim Pil-Je Kang Geun Dong Lee Sehoon Choi Won Kim Sung-Ho Jung Dong Kwan Kim Seung-Il Park Sang-Bum Hong Improved Results Over Time With Bridge-to-Lung Transplantation: A 10-Year Experience of a Single High-Volume Center Transplant International lung transplantation bridge to transplantation extracorporeal membrane oxygenation learning curve ECMO duration |
| title | Improved Results Over Time With Bridge-to-Lung Transplantation: A 10-Year Experience of a Single High-Volume Center |
| title_full | Improved Results Over Time With Bridge-to-Lung Transplantation: A 10-Year Experience of a Single High-Volume Center |
| title_fullStr | Improved Results Over Time With Bridge-to-Lung Transplantation: A 10-Year Experience of a Single High-Volume Center |
| title_full_unstemmed | Improved Results Over Time With Bridge-to-Lung Transplantation: A 10-Year Experience of a Single High-Volume Center |
| title_short | Improved Results Over Time With Bridge-to-Lung Transplantation: A 10-Year Experience of a Single High-Volume Center |
| title_sort | improved results over time with bridge to lung transplantation a 10 year experience of a single high volume center |
| topic | lung transplantation bridge to transplantation extracorporeal membrane oxygenation learning curve ECMO duration |
| url | https://www.frontierspartnerships.org/articles/10.3389/ti.2025.13944/full |
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