Optimal size matching in single lung transplantation

S. J. Park, J. Houck, R. Pifarre, H. Sullivan, E. Garrity, S. Y. Kim, J. Zbilut, A. Montoya

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Background: Single lung transplantation for patients with end-stage obstructive lung disease has been highly effective in providing symptomatic relief, and it has been performed at a much increased frequency since 1983. However, there still lacks a convincing study showing the effect of size match and other preoperative variables in predicting functional outcome of patients after transplantation. Methods: We evaluated 23 single lung transplantations performed for obstructive lung disease over a 34-month period. Multiple physiologic variables and size match criteria were evaluated for their contribution in determining the postoperative forced expiratory volume in 1 second at 3 months after transplantation. Results: The size match ratio that was based on intramammary chest wall circumference was the most useful criterion to adopt, and the optimal donor/recipient size match ratio was 0.89. Furthermore, forced expiratory volume in 1 second at 3 months after transplantation could be predicted with a simple mathematical model that was based on the size match ratio and the recipient's calculated vital capacity of the transplanted hemithorax. Conclusion: This model could be applied in a clinical setting to maximize functional outcome of the recipients undergoing single lung transplantation.

Original languageEnglish (US)
Pages (from-to)671-675
Number of pages5
JournalJournal of Heart and Lung Transplantation
Volume14
Issue number4
StatePublished - 1995
Externally publishedYes

Fingerprint

Lung Transplantation
Obstructive Lung Diseases
Transplantation
Forced Expiratory Volume
Vital Capacity
Thoracic Wall
Theoretical Models
Tissue Donors

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Transplantation

Cite this

Park, S. J., Houck, J., Pifarre, R., Sullivan, H., Garrity, E., Kim, S. Y., ... Montoya, A. (1995). Optimal size matching in single lung transplantation. Journal of Heart and Lung Transplantation, 14(4), 671-675.

Optimal size matching in single lung transplantation. / Park, S. J.; Houck, J.; Pifarre, R.; Sullivan, H.; Garrity, E.; Kim, S. Y.; Zbilut, J.; Montoya, A.

In: Journal of Heart and Lung Transplantation, Vol. 14, No. 4, 1995, p. 671-675.

Research output: Contribution to journalArticle

Park, SJ, Houck, J, Pifarre, R, Sullivan, H, Garrity, E, Kim, SY, Zbilut, J & Montoya, A 1995, 'Optimal size matching in single lung transplantation', Journal of Heart and Lung Transplantation, vol. 14, no. 4, pp. 671-675.
Park SJ, Houck J, Pifarre R, Sullivan H, Garrity E, Kim SY et al. Optimal size matching in single lung transplantation. Journal of Heart and Lung Transplantation. 1995;14(4):671-675.
Park, S. J. ; Houck, J. ; Pifarre, R. ; Sullivan, H. ; Garrity, E. ; Kim, S. Y. ; Zbilut, J. ; Montoya, A. / Optimal size matching in single lung transplantation. In: Journal of Heart and Lung Transplantation. 1995 ; Vol. 14, No. 4. pp. 671-675.
@article{75e6184af4b94e2da1c56ce83c9ee14d,
title = "Optimal size matching in single lung transplantation",
abstract = "Background: Single lung transplantation for patients with end-stage obstructive lung disease has been highly effective in providing symptomatic relief, and it has been performed at a much increased frequency since 1983. However, there still lacks a convincing study showing the effect of size match and other preoperative variables in predicting functional outcome of patients after transplantation. Methods: We evaluated 23 single lung transplantations performed for obstructive lung disease over a 34-month period. Multiple physiologic variables and size match criteria were evaluated for their contribution in determining the postoperative forced expiratory volume in 1 second at 3 months after transplantation. Results: The size match ratio that was based on intramammary chest wall circumference was the most useful criterion to adopt, and the optimal donor/recipient size match ratio was 0.89. Furthermore, forced expiratory volume in 1 second at 3 months after transplantation could be predicted with a simple mathematical model that was based on the size match ratio and the recipient's calculated vital capacity of the transplanted hemithorax. Conclusion: This model could be applied in a clinical setting to maximize functional outcome of the recipients undergoing single lung transplantation.",
author = "Park, {S. J.} and J. Houck and R. Pifarre and H. Sullivan and E. Garrity and Kim, {S. Y.} and J. Zbilut and A. Montoya",
year = "1995",
language = "English (US)",
volume = "14",
pages = "671--675",
journal = "Journal of Heart and Lung Transplantation",
issn = "1053-2498",
publisher = "Elsevier USA",
number = "4",

}

TY - JOUR

T1 - Optimal size matching in single lung transplantation

AU - Park, S. J.

AU - Houck, J.

AU - Pifarre, R.

AU - Sullivan, H.

AU - Garrity, E.

AU - Kim, S. Y.

AU - Zbilut, J.

AU - Montoya, A.

PY - 1995

Y1 - 1995

N2 - Background: Single lung transplantation for patients with end-stage obstructive lung disease has been highly effective in providing symptomatic relief, and it has been performed at a much increased frequency since 1983. However, there still lacks a convincing study showing the effect of size match and other preoperative variables in predicting functional outcome of patients after transplantation. Methods: We evaluated 23 single lung transplantations performed for obstructive lung disease over a 34-month period. Multiple physiologic variables and size match criteria were evaluated for their contribution in determining the postoperative forced expiratory volume in 1 second at 3 months after transplantation. Results: The size match ratio that was based on intramammary chest wall circumference was the most useful criterion to adopt, and the optimal donor/recipient size match ratio was 0.89. Furthermore, forced expiratory volume in 1 second at 3 months after transplantation could be predicted with a simple mathematical model that was based on the size match ratio and the recipient's calculated vital capacity of the transplanted hemithorax. Conclusion: This model could be applied in a clinical setting to maximize functional outcome of the recipients undergoing single lung transplantation.

AB - Background: Single lung transplantation for patients with end-stage obstructive lung disease has been highly effective in providing symptomatic relief, and it has been performed at a much increased frequency since 1983. However, there still lacks a convincing study showing the effect of size match and other preoperative variables in predicting functional outcome of patients after transplantation. Methods: We evaluated 23 single lung transplantations performed for obstructive lung disease over a 34-month period. Multiple physiologic variables and size match criteria were evaluated for their contribution in determining the postoperative forced expiratory volume in 1 second at 3 months after transplantation. Results: The size match ratio that was based on intramammary chest wall circumference was the most useful criterion to adopt, and the optimal donor/recipient size match ratio was 0.89. Furthermore, forced expiratory volume in 1 second at 3 months after transplantation could be predicted with a simple mathematical model that was based on the size match ratio and the recipient's calculated vital capacity of the transplanted hemithorax. Conclusion: This model could be applied in a clinical setting to maximize functional outcome of the recipients undergoing single lung transplantation.

UR - http://www.scopus.com/inward/record.url?scp=0029127362&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029127362&partnerID=8YFLogxK

M3 - Article

C2 - 7578174

AN - SCOPUS:0029127362

VL - 14

SP - 671

EP - 675

JO - Journal of Heart and Lung Transplantation

JF - Journal of Heart and Lung Transplantation

SN - 1053-2498

IS - 4

ER -