Clinical Outcomes of Lung Transplantation: Experience at Asan Medical Center / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 22-28, 2018.
Article
em En
| WPRIM
| ID: wpr-742325
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND: Lung transplantation is a life-saving procedure in patients with end-stage lung disease, and is increasingly performed in Korea. METHODS: We retrospectively evaluated the outcomes of patients who received a lung transplant at Asan Medical Center between January 2008 and December 2016. Thirteen of 54 patients experienced multiorgan transplantation; the remaining 41 who received only lung grafts were included. RESULTS: The mean age of the lung transplant recipients was 44.6 years; 27 were men and 14 were women. The most frequent reasons were idiopathic interstitial pneumonia (21 of 41 patients, 51.2%), interstitial lung disease (9 of 41, 22.0%), and bronchiolitis obliterans after bone marrow transplantation (7 of 41, 17.1%). The median waiting time was 47 days, and many patients received preoperative intensive care (27 of 41, 65.9%), ventilator support (26 of 41, 63.4%), or extracorporeal life support (19 of 41, 46.3%). All 41 patients received bilateral lung grafts. Ten deaths occurred (24.3%), including 5 cases of early mortality (12.2%) and 5 cases of late mortality (12.2%). The 1-, 3-, and 5-year survival rates were 78.9%, 74.2%, and 69.3%, respectively. CONCLUSION: Despite a high percentage of patients who required preoperative intensive care, the transplantation outcomes were acceptable.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Bronquiolite Obliterante
/
Ventiladores Mecânicos
/
Taxa de Sobrevida
/
Estudos Retrospectivos
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Mortalidade
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Transplante de Medula Óssea
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Transplante de Pulmão
/
Doenças Pulmonares Intersticiais
/
Transplantes
/
Cuidados Críticos
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Female
/
Humans
/
Male
País/Região como assunto:
Asia
Idioma:
En
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2018
Tipo de documento:
Article