Document Detail


Lung transplantation for cystic fibrosis: current concepts and one center's experience.
MedLine Citation:
PMID:  17418647     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Although new approaches to the treatment of patients with cystic fibrosis (CF) are significantly prolonging their lives, most patients will eventually develop respiratory failure due to progressive bronchiectasis caused by chronic lung infection and inflammation and die from to respiratory failure. We examined our center's (University of Wisconsin Hospital and Clinics) experience with lung transplantation for patients with CF and reviewed the literature to examine current and evolving approaches to transplantation for this indication. METHODS: We reviewed all published literature pertaining to lung transplantation for CF through 2006, and we reviewed all aspects of transplantation for patients with CF at our institution from 1994 to 2005. RESULTS: Major complications following lung transplantation include acute rejection, bacterial infection, and bronchiolitis obliterans. Five-year survival at UWHC (Kaplan-Meier) is 67%, and survival was not adversely affected by transplanting patients receiving mechanical ventilation. The major cause of death for transplant recipients was bronchiolitis obliterans syndrome (BOS). CONCLUSIONS: Lung transplantation for CF is associated with acceptable survival rates and can improve quality of life. Lung transplant should be offered to all patients with advanced CF lung disease if they meet currently accepted inclusion and exclusion criteria.
Authors:
J E Spahr; R B Love; M Francois; K Radford; K C Meyer
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Publication Detail:
Type:  Journal Article; Review     Date:  2007-04-05
Journal Detail:
Title:  Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society     Volume:  6     ISSN:  1569-1993     ISO Abbreviation:  J. Cyst. Fibros.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-03     Completed Date:  2008-01-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101128966     Medline TA:  J Cyst Fibros     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  334-50     Citation Subset:  IM    
Affiliation:
University of Wisconsin School of Medicine and Public Health, WI, USA. jonathan.spahr@chp.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Cause of Death
Cystic Fibrosis / surgery*
Female
Humans
Lung Transplantation* / mortality
Male
Postoperative Complications
Quality of Life
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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