Abstract
Idiopathic pulmonary arterial hypertension (IPAH) represents an important clinical indication for lung transplant (LTx) in children. Recent trends show fewer children with IPAH are undergoing LTx nowadays compared to previous time periods, including those with most severe form of the disease. Using the UNOS Registry, we investigated if ECMO at the time of transplant impacts post-transplant survival in children with IPAH. A total of 74 LTx recipients while on ECMO at the time of transplant were identified (IPAH: N = 12). Children with IPAH who underwent LTx while on ECMO had shown comparable survival rates to those who were on ECMO for other conditions. This analysis provides encouraging results, supporting the potential expansion of LTx for this patient population. Given the low number of children undergoing LTx, we think there should be a consensus document to provide better guidance for referring and selecting the high-risk pediatric population with IPAH on ECMO for lung transplant.
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Acknowledgements
This work was funded by National Institute of Health (NIH 1R01HL147957-01).
Funding
This work was funded by the National Institute of Health: R01HL147957—“Novel Methods to Grow the Impact of Pediatric Thoracic Transplantation”—PI: David L. S. Morales, MD.
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HFA: Conception and design, analysis and interpretation of data, drafting the manuscript. DLSM: Interpretation of data, editing the manuscript. DH: Conception and design, interpretation of data, drafting the manuscript.
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Ahmed, H.F., Morales, D.L.S. & Hayes, D. ECMO Bridge to Lung Transplant in Children with Idiopathic Pulmonary Arterial Hypertension. Lung (2024). https://doi.org/10.1007/s00408-024-00703-4
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DOI: https://doi.org/10.1007/s00408-024-00703-4