Extracorporeal life support during and after bilateral sequential lung transplantation in patients with pulmonary artery hypertension

• DOI: 10.1111/aor.13628
• Publication Date: 2019-12-30T09:44:01Z
• Authors: Andrea Dell’Amore; Alessio Campisi; Stefano Congiu; Sara Mazzarra; Saverio Pastore; Giampiero Dolci; Massimo Baiocchi; Guido Frascaroli
• Keywords: Extracorporeal; Extracorporeal circulation; Life support; Oxygenator; Membrane oxygenator

Abstract The use of extracorporeal membrane oxygenator instead standard cardiopulmonary bypass during lung transplantation is debatable. Moreover, recently, the concept prolonged postoperative (ECMO) support has been introduced in many transplant centers to prevent primary graft dysfunction (PGD) and improve early long‐term results. objective this study was review results our life strategy after bilateral sequential (BSLT) for pulmonary artery hypertension. We retrospectively experience BSLT hypertension between January 2010 August 2018. A total 38 patients were identified. Nine transplanted using (CPB), eight cases CPB followed by a ECMO (pECMO) support, 14 on central seven with pECMO assistance. effects different strategies evaluated, particular in‐hospital morbidity, mortality, incidence PGD, follow‐up. associated poor worse survival compared ECMO‐supported patients. Predictive preoperative factors need intraoperative had favorable effect mitigate morbidity not only patients, but even CPB‐supported cases. In experience, may be considered as first choice circulatory transplantation. Sometimes, very complex cases, CBP still necessary. effective reduce PGD