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Alhaider S, Maddox J, Heinle J, Shebaro I, Mallory G. A systematic approach to transplanting non-resident, non-citizens in an established US pediatric lung transplant program. Int J Pediatr Adolesc Med 2021; 9:16-21. [PMID: 35573062 PMCID: PMC9072238 DOI: 10.1016/j.ijpam.2021.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 01/12/2021] [Accepted: 02/14/2021] [Indexed: 11/24/2022]
Abstract
Introduction Methods Results Conclusion
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Rahulan V, Shah U, Yadav P, Ravipathy S, Jindal A, Suresh S, Sandeepa HS, Kumar P, Mohandas A, Kumar S, Shivanna S, Kori S, Dutta P, Anand P, Mahesh BN, Madhusudana N, Bhaskar BV, Balasubramani G, Attawar S. Challenges, experiences, and postoperative outcomes in setting up first successful lung transplant unit in India. Lung India 2021; 38:216-222. [PMID: 33942744 PMCID: PMC8194446 DOI: 10.4103/lungindia.lungindia_585_20] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Background Lung transplantation (LT) has emerged as a definitive cure for a plethora of end-stage lung diseases (ESLDs). With improvements in immune-suppression protocols, the posttransplantation survival rates have gone up. Aim The study reported the initial experience of the India's single largest lung transplant program on clinicopathological profile, procedures, challenges encountered, and outcomes. Settings and Design A retrospective analysis was done from data available at three centers of Institute of Heart and Lung Transplant, Gleneagles Global Hospitals across Chennai, Bengaluru, and Mumbai. Materials and Methods A total of 132 patients underwent lung (single or bilateral) or combined heart and lung transplant between April 2017 and March 2020. All the participants had 30 days' follow-up. Postoperative complications, graft rejection, and 30-day mortality were reported. Kaplan-Meier survival analysis and logistic regression analysis were performed. Statistical Analysis Used Kaplan-Meier survival and binary logistic regression was performed. Results Interstitial lung diseases, 65.91%, were the most common diagnosis. Bilateral LT (81.3%) was the most common type of LT performed. Grade III primary graft dysfunction was observed in 16 (12.1%). Distal airway stenosis (21.97%) was the most common complication followed by anastomotic stenosis (14.30%). Gram-negative bacterial sepsis (52%) was the leading cause of death. Cumulative probability of survival at 1 month was 0.85 (95% confidence interval [CI] 0.80-0.92), and at 1 year, it was 0.78 (95% CI, 0.72-0.86). Conclusion This study establishes the fact that despite multiple challenges, LT is a viable option for selected patients with ESLDs in India and should encourage early referrals to a transplant center.
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Affiliation(s)
- Vijil Rahulan
- Institute of Heart and Lung Transplant, Gleneagles Global Health City, Chennai, Tamil Nadu, India
| | - Unmil Shah
- Institute of Heart and Lung Transplant, Gleneagles Global Health City, Chennai, Tamil Nadu, India
| | - Pavan Yadav
- Institute of Heart and Lung Transplant, Gleneagles Global Health City, Chennai, Tamil Nadu, India
| | - Srinivasa Ravipathy
- Institute of Heart and Lung Transplant, Gleneagles Global Health City, Chennai, Tamil Nadu, India
| | - Apar Jindal
- Institute of Heart and Lung Transplant, Gleneagles Global Health City, Chennai, Tamil Nadu, India
| | - S Suresh
- Institute of Heart and Lung Transplant, Gleneagles Global Health City, Chennai, Tamil Nadu, India
| | - H S Sandeepa
- Department of Pulmonology, BGS Global Hospital, Bengaluru, Karnataka, India
| | - Pradeep Kumar
- Institute of Heart and Lung Transplant, Gleneagles Global Health City, Chennai, Tamil Nadu, India
| | - Anoop Mohandas
- Institute of Heart and Lung Transplant, Gleneagles Global Health City, Chennai, Tamil Nadu, India
| | - Sharanya Kumar
- Institute of Heart and Lung Transplant, Gleneagles Global Health City, Chennai, Tamil Nadu, India
| | - Shivaprakash Shivanna
- Institute of Heart and Lung Transplant, Gleneagles Global Health City, Chennai, Tamil Nadu, India
| | - Santosh Kori
- Department of CTVS, BGS Global Hospital, Bengaluru, Karnataka, India
| | - Prabhat Dutta
- Institute of Heart and Lung Transplant, Gleneagles Global Health City, Chennai, Tamil Nadu, India
| | - Prem Anand
- Institute of Heart and Lung Transplant, Gleneagles Global Health City, Chennai, Tamil Nadu, India
| | - B N Mahesh
- Institute of Heart and Lung Transplant, Gleneagles Global Health City, Chennai, Tamil Nadu, India
| | - N Madhusudana
- Department of CTVS, BGS Global Hospital, Bengaluru, Karnataka, India
| | - B V Bhaskar
- Department of CTVS, BGS Global Hospital, Bengaluru, Karnataka, India
| | - G Balasubramani
- Institute of Heart and Lung Transplant, Gleneagles Global Health City, Chennai, Tamil Nadu, India
| | - Sandeep Attawar
- Institute of Heart and Lung Transplant, Gleneagles Global Health City, Chennai, Tamil Nadu, India
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