Kumar Anupam, Garcha Puneet Singh
Baylor College of Medicine, 6720 Bertner Ave, Houston, TX 77030 USA.
Indian J Thorac Cardiovasc Surg. 2022 Jul;38(Suppl 2):318-325. doi: 10.1007/s12055-021-01228-8. Epub 2021 Nov 16.
Lung transplantation remains the only cure for selected patients with advanced irreversible lung diseases. More than 4000 lung transplants are performed worldwide annually. In the last two decades, significant advances have been made in this arena, the most impactful being a modest but improved survival of the recipients. Unfortunately majority of recipients still succumb to chronic lung allograft dysfunction (CLAD), and it remains the most common cause of death after the first year of transplantation. Below is a concise review of the current definition of CLAD, including the various phenotypes, and a brief discussion of the tools available for its diagnosis and management.
肺移植仍然是某些患有晚期不可逆肺部疾病患者的唯一治愈方法。全球每年进行超过4000例肺移植手术。在过去二十年中,这一领域取得了重大进展,其中最具影响力的是受者生存率虽有适度提高但仍有所改善。不幸的是,大多数受者仍死于慢性肺移植功能障碍(CLAD),它仍然是移植后第一年最常见的死亡原因。以下是对CLAD当前定义的简要回顾,包括各种表型,并简要讨论可用于其诊断和管理的工具。