Timing of Listing and Patient Management on the Waiting List
Lung transplantation is considered for patients who have end-stage lung disease with no or limited therapeutic options and low probability of prolonged survival. There is limited information especially in children when to list for lung transplant and pretransplant management, and much of the level of evidence is based on expert opinion. In general, patients should be listed when lung transplantation is expected to improve survival. Ideally this is early enough for the transplant center to have time for adequate evaluation and take into consideration waitlist time. Factors that result in a high risk of a poor transplant outcomes are considered contraindications and may be disease and/or center dependent. Patient management should be directed to maintain survival while optimizing posttransplant outcomes.
KeywordsLung Transplantation Children Waitlist Indications Contraindications
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