The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.
Extracorporeal life support during lung transplantation
Open accessAbstract
Lung transplantation surgeries are performed without extracorporeal life support (ECLS) by using an off-pump technique; however, in cases of hypoxemia or hemodynamic instability, intraoperative ECLS may be required. Cardiopulmonary bypass (CPB) has traditionally been the standard practice for ECLS but has been associated with an increased risk of bleeding in the perioperative period, increased transfusion requirements, prolonged postoperative intubation, and possibly primary graft dysfunction. More recently, because of the flexibility of using extracorporeal membrane oxygenation (ECMO) in bridging to transplantation and during postoperative recovery, its use has increased. CPB and ECMO each has advantages and disadvantages; however, because comparisons of CPB and ECMO have been limited to small retrospective observational and single-institution studies, more research is required to determine the superiority of one modality. In this review, we critically examine the pros and cons of performing lung transplantation surgery off-pump or by using the ECLS modalities of ECMO and CPB support during lung transplantation surgery.
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Sequential BOLT performed off-pump using single-lung ventilation has long been the standard planned intraoperative support strategy for BOLT recipients without pulmonary hypertension at many institutions, including ours.
“Sequential BOLT performed off-pump using single-lung ventilation has long represented the standard planned intraoperative support strategy for BOLT recipients without PH at many institutions, including ours.4,6”
From Textbook outcome in lung transplantation: Planned venoarterial extracorporeal membrane oxygenation versus off-pump support for patients without pulmonary hypertension (2022) · cites this paper as [6]
The section “The trend towards using ECMO” describes a Toronto group's usual practice of starting bilateral sequential transplantation off-pump, with primary pulmonary hypertension as an exception. The “Off-pump lung transplantation” section says the operation can proceed without extracorporeal support when single-lung ventilation is tolerated. The paper does not establish that this has long been the standard planned strategy at many institutions, including the citing authors’ institution; page numbers are unavailable in our copy. (LLM, conf=0.83)
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Halpern, S. E., Wright, M. C., Madsen, G., Chow, B., Harris, C. S., Haney, J. C., Klapper, J. A., Bottiger, B. A., & Hartwig, M. G. (2022) · The Journal of Heart and Lung Transplantation · doi:10.1016/j.healun.2022.07.015 · Cited by 22
Metadata
- Authors
- Coster, J. N., & Loor, G.
- Affiliations
- Baylor College of Medicine (US)
- Corresponding author
- Coster, Jenalee Nicole
- Venue
- Indian Journal of Thoracic and Cardiovascular Surgery
- Published
- 2021-04-27
- Volume
- 37
- Issue
- S3
- Pages
- 476-483
- ISSN
- 0970-9134 (ISSN-L)
- 0973-7723
- PMC
- PMC8075835
- OpenAlex
- W3159583389
- Cited by
- 14
- References
- 24
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 4
- FWCI
- 1.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Indian Journal of Thoracic and Cardiovascular Surgery (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Texas Heart Institute
- Topics
- Health Sciences › Medicine › Surgery › Transplantation: Methods and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Mechanical Circulatory Support Devices
- Health Sciences › Medicine › Surgery › Cardiac and Coronary Surgery Techniques
- Keywords
- extracorporeal life support, lung transplantation, extracorporeal membrane oxygenation, cardiopulmonary bypass, off-pump surgery, primary graft dysfunction, hypoxemia, hemodynamic instability, bridge to transplant, postoperative recovery
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