LUNG TRANSPLANTATION AT THE TURN OF THE CENTURY

• Published in: Annual review of medicine Vol. 52; no. 1; pp. 185 - 201
• Main Authors: DeMeo, Dawn L, Ginns, Leo C
• Format: Journal Article
• Language: English
• Published: Palo Alto, CA 94303-0139 Annual Reviews 01.01.2001; 4139 El Camino Way, P.O. Box 10139 Annual Reviews, Inc; USA
• Subjects: allograft; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Clinical death. Palliative care. Organ gift and preservation; Forecasting; Graft Survival; Humans; immunosuppression; Immunosuppression - adverse effects; Immunosuppression - methods; infection; Infection Control - methods; Lung Transplantation - adverse effects; Lung Transplantation - immunology; Lung Transplantation - methods; Lung Transplantation - mortality; Lung Transplantation - psychology; Lung Transplantation - trends; Medical sciences; Patient Selection; Quality of Life; rejection; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the respiratory system; survival; Survival Analysis; Tissue and Organ Procurement - methods; Tissue and Organ Procurement - trends; Human; Infection; Rejection; Prognosis; Surgery; Lung; Adult; Complication; Transplantation; Review; Malignant tumor
• ISSN: 0066-4219; 1545-326X
• DOI: 10.1146/annurev.med.52.1.185

Lung transplantation has become a viable treatment option for patients with end-stage lung disease. Donor selection and organ allocation must follow specific guidelines. Single, bilateral, and living-donor lobar transplantation have all been performed successfully for a variety of diseases. Complications include reimplantation response and airway complications. Rejection may occur in the hyperacute, acute, or chronic settings and requires judicious management with immunosuppression. Infection and malignancy remain potential complications of the commitment to lifelong systemic immunosuppression. Survival statistics have remained encouraging and continue to improve with experience. Improved exercise tolerance and quality of life have been demonstrated in the years following transplantation. Remaining obstacles include limited donor organ availability, long-term graft function, and patient survival. However, ongoing advances in immune tolerance and standardized training of physicians in the care of transplant patients should carry lung transplant forward in the twenty-first century.