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. 2017 Sep;36(9):985–995. doi: 10.1016/j.healun.2017.05.012

Table 2.

Recipient Post–Lung Transplant Outcomes in EVLP Arm

EVLP number Age (years)/sex Diagnosis High risk Tx CPB Pao2/Fio2 ratio at 24 hours post-Tx (mm Hg) PGD score at 72 hours Post-operative ECMO Invasive ventilation, days ICU stay (days) Hospital stay (days) Survival to discharge 1-year survival Cause of death
27 59/M IPF No Yes—DL Yes 378 0 No 2 3.5 46 Yes Yes
28 32/F CF NIV Yes—DL No 217 3 No 1.5 7.5 21 Yes Yes
29 56/M COPD NIV Yes—DL Yes 335 1 Yes 15 15 25 Yes No Pneumonia
30 62/F IPF NIV Yes—SL Yes 428 (ECMO) 3 Yes 65 65.5 93 Yes Yes
31 44/M PAH PAH Yes—DL Yes 221 3 Yes 0.33 21 44 Yes Yes
32 48/M IPF RV↓ Yes—DL Yes 286 1 No 0.5 1.5 16 Yes Yes
33 49/M IPF No Yes—DL Yes 326 (ECMO) 2 Yes 70 68 87 Yes Yes
34 59/F COPD No Yes—DL Yes 146 1 No 1.5 5 25 Yes Yes
35 64/M COPD NIV Yes—DL No 278 2 No 0.5 2.5 16 Yes Yes
36 20/M CF NIV Yes—DL Yes 203 2 No 2.5 6.5 17 Yes Yes
37 60/M COPD No Yes—DL Yes 345 1 No 1.5 5.5 25 Yes Yes
38 56/M IPF No Yes—DL Yes 113 (ECMO) 3 Yes 100a 98 100a No No PGDb and sepsis
39 56/F BE No Yes—DL Yes 257 1 No 3 14 31a No No Pneumonia and sepsis
40 56F COPD No Yes—DL Yes 401 2 No 18a 18a 18a No No PGDb and hypoxic brain injury
41 23/M CF NIV + RV↓ Yes—DL Yes 368 (ECMO) 1 Yes 3 15 63a No No PGDb and pneumonia
42 58/M IPF NIV Yes—SL Yes 71 3 No 31a 31a 31a No No PGDb and respiratory arrest

BE, bronchiectasis; CF, cystic fibrosis; COPD, chronic obstructive pulmonary disease; CPB, cardiopulmonary bypass; DL, double-lung; ECMO, extracorporeal membrane oxygenation; EVLP, ex vivo lung perfusion; F, female; ICU, intensive care unit; IPF, idiopathic pulmonary fibrosis; M, male; NIV, non-invasive ventilation; PAH, pulmonary artery hypertension; Pao2/Fio2, arterial oxygen partial pressure/fraction of inspired oxygen; PGD, primary graft dysfunction; RV↓, right ventricular failure; SL, single-lung; Tx, transplantation.

a

Death before hospital discharge.

b

Of 4 recipients in whom we believe PGD played a role in the cause of death, 2 had severe PGD at all time points up to 72 hours. One patient had very severe graft failure on arrival in the ICU and had to be salvaged with emergency ECMO. ECMO was weaned just before 72 hours and the patient had at this time point a saturation reflecting mild PGD, even though he never recovered and continued to need hospital treatment for failing graft function until his death at 63 days post-Tx. The fourth recipient had moderately severe PGD up to 72 hours, which never recovered. The patient was never weaned off invasive ventilation and died 18 days post-transplant.