Open AccessLiver‐first versus lung‐first: a new dilemma in combined organ transplantation
Author(s) -
Ceulemans Laurens J.,
Vos Robin,
Neyrinck Arne,
Pirenne Jacques,
Warnecke Gregor,
Van Raemdonck Dirk
Publication year - 2018
Publication title -
transplant international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.998
H-Index - 82
eISSN - 1432-2277
pISSN - 0934-0874
DOI - 10.1111/tri.13099
Subject(s) - medicine , lung transplantation , organ transplantation , liver transplantation , lung , dilemma , transplantation , intensive care medicine , organ donation , general surgery , philosophy , epistemology
One-staged combined liver-lung transplantation (cLiLuTx) is a life-saving procedure for patients with dual organ failure[1]. The classic sequence dictates LuTx priority over LiTx, due to the tolerable cold ischemic time, which is considered shorter for the lungs (6-8 hours) than for the liver (8-10 hours). However recent reports describe successful LuTx following longer ischemic time (10-12 hours)[2,3]; and safe extension of the lung out-of-body time by ex-vivo lung perfusion (EVLP)[4]. This article is protected by copyright. All rights reserved.status: accepte