Use of CT-SCAN score and volume measures to early identify restrictive allograft syndrome in single lung transplant recipients

Restrictive allograft syndrome (RAS) after lung transplantation (LTx) is associated with the poorer graft survival in patients with chronic lung allograft dysfunction (CLAD). Nevertheless, its diagnostic criteria have not been clearly defined after single-LTx (SLTx). Hence, we studied an SLTx cohort...

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Veröffentlicht in:The Journal of heart and lung transplantation 2020-02, Vol.39 (2), p.125-133
Hauptverfasser: Philippot, Quentin, Debray, Marie-Pierre, Bun, René, Frija-Masson, Justine, Bunel, Vincent, Morer, Lise, Roux, Antoine, Picard, Clément, Jebrak, Gilles, Dauriat, Gaelle, Castier, Yves, Cazes, Aurélie, Mal, Hervé, Taupin, jean-Luc, Couffignal, Camille, Brugière, Olivier
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Sprache:eng
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Zusammenfassung:Restrictive allograft syndrome (RAS) after lung transplantation (LTx) is associated with the poorer graft survival in patients with chronic lung allograft dysfunction (CLAD). Nevertheless, its diagnostic criteria have not been clearly defined after single-LTx (SLTx). Hence, we studied an SLTx cohort with CLAD to investigate the utility of both computed tomography (CT)-score/volume measures and functional spirometric criteria for the early identification of RAS in this population. We included 51 patients with SLTx (17 RAS, 17 bronchiolitis obliterans syndrome [BOS], and 17 stable condition). The criteria for RAS diagnosis in SLTx included forced vital capacity (FVC)
ISSN:1053-2498
1557-3117
DOI:10.1016/j.healun.2019.11.008