Mattar Aladdein, Chatterjee Subhasis, Loor Gabriel
Michael E. DeBakey Department of Surgery, Division of Cardiothoracic Transplantation and Circulatory Support, Baylor College of Medicine, One Baylor Plaza, 11C33, Houston, TX 77030, USA.
Thoracic Surgical ICU, ECMO Program, Michael E. DeBakey Department of Surgery, Division of Cardiothoracic Transplantation and Circulatory Support, Baylor College of Medicine, CHI Baylor St. Lukes, Neurosensory Center, Mailstop BCM 390, Suite NC100T, 6501 Fannin Street, Houston, TX 77030, USA.
Crit Care Clin. 2019 Jan;35(1):11-25. doi: 10.1016/j.ccc.2018.08.006.
Lung transplantation is the gold standard for treating patients with end-stage lung disease. Such patients can present with severe illness on the waitlist and may deteriorate before a lung donor is available. Bridging strategies with extracorporeal membrane oxygenation (ECMO) are valuable for getting patients to transplant and provide a chance at survival. The current article describes the indications, contraindications, and techniques involved in bridging to lung transplantation with ECMO.
肺移植是治疗终末期肺病患者的金标准。这类患者在等待名单上可能病情严重,并且在获得肺供体之前可能会病情恶化。体外膜肺氧合(ECMO)的过渡策略对于帮助患者接受移植并提供生存机会非常有价值。本文描述了使用ECMO过渡到肺移植所涉及的适应证、禁忌证和技术。