Evidence map›Paper›PMID 38230743›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2024

Various combinations of living and deceased donors for lung retransplantation-a single institutional retrospective study.

Akihiro Ohsumi, Satona Tanaka, Yoshito Yamada, Yojiro Yutaka, Masatsugu Hamaji, Daisuke Nakajima, Hiroshi Date

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Article in Interdisciplinary cardiovascular and thoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Akihiro OhsumiDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.ORCID 0000-0002-2847-9653
Satona TanakaDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.ORCID 0000-0002-0789-2350
Yoshito YamadaDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.ORCID 0000-0002-7659-8067
Yojiro YutakaDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.ORCID 0000-0003-4220-969X
Masatsugu HamajiDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.ORCID 0000-0002-9808-8260
Daisuke NakajimaDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.
Hiroshi DateDepartment of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.ORCID 0000-0001-7262-6000
Kyoto University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesLung retransplantation has been performed as a treatment option mainly for chronic lung allograft dysfunction; however, the outcomes of lung retransplantation have been reported to be worse than those of primary lung transplantation. Because of the scarcity of deceased donors in our country, our lung transplant experience includes both living and deceased donors. Therefore, we have experienced lung retransplantation cases with various combinations of living and deceased donors. The aim of this study was to explore technical pitfalls and outcomes of lung retransplantation in this unique environment.

methodsWe performed 311 lung transplantation procedures between April 2002 and October 2022. Eight lung retransplantation cases (2.6%) were analysed retrospectively.

resultsAt lung retransplantation, the age of the recipient patients ranged from 11 to 61 years (median, 33 years). The combinations of donor sources (primary lung transplantation/lung retransplantation) were as follows: 2 living/living, 2 deceased/living, 3 living/deceased and 1 deceased/deceased. Seven of 8 patients received lung retransplantation for chronic lung allograft dysfunction. Hospital death occurred in 2 patients (25.0%). The 1-, 3- and 5-year survival rates after lung retransplantation (n = 8) were 75.0%, 75.0% and 75.0%, respectively, while those after primary lung transplantation (n = 303) were 92.8%, 83.4% and 76.4%, respectively (P = 0.162).

conclusionsLung retransplantation with various combinations of living and deceased donors is a technically difficult but feasible procedure with acceptable outcomes.

Indexed as

Chronic lung allograft dysfunctionLiving donor lung transplantationLung retransplantationLung transplantation

Identifiers

PMID38230743
PMCPMC10903177
OpenAlexW4390946153

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.