title: ECMO as bridge to lung transplant.
abstract: Since the advent of lung transplantation more than 5 decades ago, preoperative, surgical, and anesthetic management have improved. The growing experience with extracorporeal membrane oxygenation (ECMO) has enabled clinicians to expand its effective use to care for patients while bridging them to transplant (BTT). We highlight the approach in which ECMO is used to successfully bridge critically ill patients to lung transplantation when stringent daily clinical assessment is applied. In patients who continued to meet transplant criteria and were successfully transplanted, postoperative survival rates are acceptable. Larger studies are needed to inform decision algorithms for BTT patients and optimize outcomes.
authors.affiliation: Section of Thoracic Surgery, Price Family Center for Comprehensive Chest Care, Center for Acute Respiratory Care, Columbia University Medical Center, New York-Presbyterian Hospital, 161 Fort Washington Avenue, 3rd Floor, New York, NY 10032, USA.
authors.forename: Mauer
authors.initials: M
authors.lastname: Biscotti
authors.affiliation: Section of Thoracic Surgery, Price Family Center for Comprehensive Chest Care, Center for Acute Respiratory Care, Columbia University Medical Center, New York-Presbyterian Hospital, 161 Fort Washington Avenue, 3rd Floor, New York, NY 10032, USA. Electronic address: js2106@columbia.edu.
authors.forename: Joshua
authors.initials: J
authors.lastname: Sonett
authors.affiliation: Section of Thoracic Surgery, Price Family Center for Comprehensive Chest Care, Center for Acute Respiratory Care, Columbia University Medical Center, New York-Presbyterian Hospital, 161 Fort Washington Avenue, 3rd Floor, New York, NY 10032, USA.
authors.forename: Matthew
authors.initials: M
authors.lastname: Bacchetta
mesh_terms: D000465:Algorithms; D016638:Critical Illness; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D016040:Lung Transplantation / Q000379:methods*; D018579:Patient Selection; D011300:Preoperative Care / Q000379:methods; D015996:Survival Rate
keywords: Bridge to transplant; ECMO; Lung transplant