ISHLT consensus document on lung transplantation in patients with connective tissue disease: Part I: Epidemiology, assessment of extrapulmonary conditions, candidate evaluation, selection criteria, and pathology statements

ISHLT consensus document on lung transplantation in patients with connective tissue disease: Part I: Epidemiology, assessment of extrapulmonary conditions, candidate evaluation, selection criteria, and pathology statements
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DOI:
10.1016/j.healun.2021.07.014
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发表时间:
2021-10-31
影响因子:
8.9
通讯作者:
Budev, Marie
Budev, Marie
中科院分区:
医学1区
文献类型:
--
作者:
Crespo, Maria M.;Lease, Erika D.;Budev, Marie

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结缔组织病(CTD)和晚期肺部疾病患者通常被认为是肺移植(LTX)的次佳候选者,因为他们潜在的医学复杂性和潜在的手术风险。在这些患者的评估和名单方面,不同的LTX中心有很大的差异。国际心肺移植学会支持的关于CTD标准化患者肺移植的共识文件旨在澄清CTD一词所包含的每种疾病状态的定义,描述在移植前需要考虑的每种疾病的肺外表现,并概述移植的绝对禁忌症,允许在评估和选择LTX候选者期间进行风险分层。(C)2021年国际心肺移植学会。版权所有。
Patients with connective tissue disease (CTD) and advanced lung disease are often considered suboptimal candidates for lung transplantation (LTx) due to their underlying medical complexity and potential surgical risk. There is substantial variability across LTx centers regarding the evaluation and listing of these patients. The International Society for Heart and Lung Transplantation-supported consensus document on lung transplantation in patients with CTD standardization aims to clarify definitions of each disease state included under the term CTD, to describe the extrapulmonary manifestations of each disease requiring consideration before transplantation, and to outline the absolute contraindications to transplantation allowing risk stratification during the evaluation and selection of candidates for LTx. (C) 2021 International Society for Heart and Lung Transplantation. All rights reserved.