(620) - Lung Transplant Recipient Survival Following Urgent Inpatient Candidacy Evaluation

Abstract

of preoperative extracorporeal life support (ECLS). With such criteria, 42 patients had an initial indication for HLT, but only 30 received HLT (Gr 1 HLT/HLT); 32 patients received DLT as initially indicated (Gr 2 DLT/DLT). Twelve patients initially planned for HLT received DLT (Gr 3 HLT/DLT). ICU and long-term mortality rated were recorded. Need for post operative ECLS and course of organ failure (defined by the SOFA score) were also recorded. Results: ICU survival rates were not different between the 3 groups (gr 1 77%; gr 2 78%, gr 3 92%), as the 3-years survival rates (gr 1 57%; gr 2 62%; gr 3 58%). Number of patients with a postoperative ECLS were similar among groups 1, 2, 3 (27%, 25%, 33%, respectively). Median duration of inotropic support was significantly longer in gr 3 compared to gr 1 and gr 2 (13 days vs 4 days, p= 0.01). Course of organ failure was different during the first postoperative 7 days: SOFA score was significantly higher for gr 3 compared to gr 1 and gr 2 (p= 0.04). Finally, nosocomial infections, surgical complications, and immunologic events were not different between the 3 groups. Conclusion: Despite a more complicated ICU course, for selected PH patients initially scheduled for HLT, DLT is a valuable option with good early and long-term results.