Cited by 59Transplantation: Methods and OutcomesInterstitial Lung Diseases and Idiopathic Pulmonary FibrosisPulmonary Hypertension Research and Treatments

The DOI matches its Crossref record; 6 of the 6 references it cites were found in a registry or an index.

Outcome of lung transplantation in idiopathic pulmonary fibrosis with previous anti-fibrotic therapy

Abstract

Background Anti-fibrotic drugs may interfere with wound-healing after major surgery, theoretically preventing sufficient bronchial anastomosis formation after lung transplantation (LTx). The aim of this study was to assess the impact of previous treatment with pirfenidone and nintedanib on outcomes after LTx in patients with idiopathic pulmonary fibrosis (IPF). Methods All patients with IPF undergoing LTx at the University of Munich between January 2012 and November 2016 were retrospectively screened for previous use of anti-fibrotics. Post-transplant outcome and survival of patients with and without anti-fibrotic treatment were analyzed. Results A total of 62 patients with IPF were transplanted (lung allocation score [mean ± SD] 53.1 ± 16.1). Of these, 23 (37.1%) received pirfenidone and 7 (11.3%) received nintedanib before LTx; the remaining 32 (51.6%) did not receive any anti-fibrotic drug (control group). Patients receiving anti-fibrotics were significantly older (p = 0.004) and their carbon monoxide diffusion capacity was significantly higher (p = 0.008) than in controls. Previous anti-fibrotic treatment did not increase blood product utilization, wound-healing or anastomotic complications after LTx. Post-transplant surgical revisions due to bleeding and/or impaired wound-healing were necessary in 18 (29.0%) patients (pirfenidone 30.4%, nintedanib 14.3%, control 31.3%; p = 0.66). Anastomosis insufficiency occurred in 2 (3.2%) patients, both in the control group. No patie…

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Research works printed but not linked: 16

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  7. Egan, 2006, Development of the new lung allocation system in the United States, Am J Transplant, 6, 1212, 10.1111/j.1600-6143.2006.01276.x · DOI · Paper page
  8. Neurohr, 2010, Potential functional and survival benefit of double over single lung transplantation for selected patients with idiopathic pulmonary fibrosis, Transpl Int, 23, 887
  9. Neurohr, 2009, Tacrolimus and mycophenolate mofetil as first line immunosuppression after lung transplantation, Transpl Int, 22, 635, 10.1111/j.1432-2277.2009.00843.x · DOI
  10. Christie, 2005, Report of the ISHLT Working Group on Primary Lung Graft Dysfunction part II: definition. A consensus statement of the International Society for Heart and Lung Transplantation, J Heart Lung Transplant, 24, 1454, 10.1016/j.healun.2004.11.049 · DOI
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Metadata

Authors
Leuschner, G., Stocker, F., Veit, T., Kneidinger, N., Winter, H., Schramm, R., Weig, T., Matthes, S., Ceelen, F., Arnold, P., Munker, D., Klenner, F., Hatz, R., Frankenberger, M., Behr, J., & Neurohr, C.
Affiliations
  • German Center for Lung Research (DE)
  • Ludwig-Maximilians-Universität München (DE)
  • Helmholtz Munich (DE)
Corresponding author
Leuschner, Gabriela
Venue
The Journal of Heart and Lung Transplantation
Publisher
Elsevier BV
Published
2018-02
Volume
37
Issue
2
Pages
268-274
ISSN
1053-2498 (ISSN-L)
OpenAlex
W2733752510
Cited by
59
References
6
Citations by year
2025: 4 · 2024: 1 · 2023: 10 · 2022: 4 · 2021: 11 · 2020: 6 · 2019: 12 · 2018: 11
FWCI
8.15
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Heart and Lung Transplantation (publishedVersion)
  • PubMed (publishedVersion)
  • Site cant be reached (submittedVersion)
  • PuSH - Publication Server of Helmholtz Zentrum München (submittedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Transplantation: Methods and Outcomes
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pulmonary Hypertension Research and Treatments
Keywords
lung transplantation, idiopathic pulmonary fibrosis, antifibrotic therapy, pirfenidone, nintedanib, bronchial anastomosis, wound healing, anastomotic complications, post-transplant survival, surgical revision

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