STS E Book - Lung Transplantation Flashcards

1
Q

Current median survival of lung transplant?
What is this due to?

A

6 years.
Chronic lung allograft dysfunction.

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2
Q

Explain the considerations for lung transplantation with history of malignancy.

A

Lung transplantation should not be offered to adults with a recent history of malignancy. A 2-year disease-free interval combined with a low predicted risk of cancer recurrence after lung transplantation may be reasonable, for instance, in non - melanoma localized skin cancer that has been treated appropriately. However, a 5-year disease-free interval is prudent in most cases, particularly for patients with a history of hematologic malignancy, sarcoma, melanoma, or cancers of the lung, breast, bladder, or kidney.

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3
Q

What are the BMI cutoffs for lung txp?

A

BMI >35 is an absolute contraindication.
BMI 30-35 is a relative contraindication.
BMI 25-30 is still assd w/ a 2x risk of severe PGD.

Weight loss shows improved outcomes.

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