Restricted accessResearch articleFirst published online 2024-3
A two-circuit strategy for intraoperative extracorporeal support during single lung transplantation in a patient bridged with venovenous extracorporeal membrane oxygenation
Venovenous extracorporeal membrane oxygenation is increasingly used as a bridging strategy in decompensating patients awaiting lung transplantation. Various approaches for continuing support intraoperatively have been previously described. A two-circuit strategy that uses the in situ venovenous extracorporeal membrane oxygenation circuit supplemented with peripheral cardiopulmonary bypass allows for diversion of native cardiac output away from the transplanted lung as well as seamless continuation of venovenous extracorporeal membrane oxygenation postoperatively.
YusenRDEdwardsLBKucheryavayaAY, et al.The Registry of the International Society for Heart and Lung Transplantation: Thirty-second Official Adult Lung and Heart-Lung Transplantation Report--2015; Focus Theme: Early Graft Failure. J Heart Lung Transpl2015; 34: 1264–1277.
2.
FuehnerTKuehnCWelteT, et al.ICU Care Before and After Lung Transplantation. Chest2016; 150: 442–450.
3.
KellerSP. Contemporary approaches in the use of extracorporeal membrane oxygenation to support patients waiting for lung transplantation. Ann Cardiothorac Surg2020; 9: 29–41.
4.
BromanLMTacconeFSLorussoR, et al.The ELSO Maastricht Treaty for ECLS Nomenclature: abbreviations for cannulation configuration in extracorporeal life support – a position paper of the Extracorporeal Life Support Organization. Crit Care2019; 23: 36.
5.
ToddEMBiswas RoySHashimiAS, et al.Extracorporeal membrane oxygenation as a bridge to lung transplantation: A single-center experience in the present era. J Thorac Cardiovasc Surg2017; 154: 1798–1809.
6.
KoR-ELeeJGKimSY, et al.Extracorporeal membrane oxygenation as a bridge to lung transplantation: analysis of Korean organ transplantation registry (KOTRY) data. Respir Res2020; 21: 20.
7.
TipografYSalnaMMinkoE, et al.Outcomes of Extracorporeal Membrane Oxygenation as a Bridge to Lung Transplantation. Ann Thorac Surg2019; 107: 1456–1463.
8.
FaccioliETerziSPangoniA, et al.Extracorporeal membrane oxygenation in lung transplantation: Indications, techniques and results. World J Transpl2021; 11: 290–302.
9.
HakimAHAhmadUMcCurryKR, et al.Contemporary Outcomes of Extracorporeal Membrane Oxygenation Used as Bridge to Lung Transplantation. Ann Thorac Surg2018; 106: 192–198.
10.
HashimotoKHoetzeneckerKYeungJC, et al.Intraoperative extracorporeal support during lung transplantation in patients bridged with venovenous extracorporeal membrane oxygenation. J Heart Lung Transpl2018; 37: 1418 1424.
11.
ToyodaYBhamaJKShigemuraN, et al.Efficacy of extracorporeal membrane oxygenation as a bridge to lung transplantation. J Thorac Cardiovasc Surg2013; 145: 1065–1071.
12.
PolastriMLoforteADell’AmoreA, et al.Physiotherapy for Patients on Awake Extracorporeal Membrane Oxygenation: A Systematic Review. Physiother Res Int2016; 21: 203–209.
13.
CosgunTTomaszekSOpitzI, et al.Single-center experience with intraoperative extracorporeal membrane oxygenation use in lung transplantation. Int J Artif Organs2017; 0.
14.
HoetzeneckerKSchwarzSMuckenhuberM, et al.Intraoperative extracorporeal membrane oxygenation and the possibility of postoperative prolongation improve survival in bilateral lung transplantation. J Thorac Cardiovasc Surg2018; 155: 2193–2206.
15.
HayangaJWAChanEGMusgroveK, et al.Extracorporeal Membrane Oxygenation in the Perioperative Care of the Lung Transplant Patient. Semin Cardiothorac Vasc Anesth2020; 24: 45–53.
16.
HalldorssonAKrononMAllenBS, et al.Controlled reperfusion after lung ischemia: implications for improved function after lung transplantation. J Thorac Cardiovasc Surg1998; 115: 415–424.
17.
BhabraMSHopkinsonDNShawTE, et al.Critical importance of the first 10 minutes of lung graft reperfusion after hypothermic storage. Ann Thorac Surg1996; 61: 1631–1635.
18.
MarczinNRoystonDYacoubM. Pro: lung transplantation should be routinely performed with cardiopulmonary bypass. J Cardiothorac Vasc Anesth2000; 14: 739–745.
