Liver‐first versus lung‐first: a new dilemma in combined organ transplantation | Zendy

Ceulemans Laurens J. | Zendy; Vos Robin | Zendy; Neyrinck Arne | Zendy; Pirenne Jacques | Zendy; Warnecke Gregor | Zendy; Van Raemdonck Dirk | Zendy

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Liver‐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

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