A patient with chronic obstructive pulmonary disease (COPD) or emphysema may be a candidate for lung transplant if certain poor prognostic factors are present.
(2) emphysema secondary to alpha-1 antitrypsin deficiency
(3) emphysema secondary to other cause
Criteria for considering a patient for lung transplantation:
(1) functional Class III or IV NYHA
(2) postbronchodilator FEV1 < 25% of predicted (others: postbronchodilator FEV1 < 30% of predicted, FEV1 <= 20% of predicted)
(3) rapid decline in FEV1
(4) resting hypoxia (PaO2 < 55-60 mm Hg)
(5) severe hypercapnia
(6) unintended weight loss
(7) significant secondary pulmonary hypertension (cor pulmonale)
(8) frequent life threatening exacerbations
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Purpose: To determine if a patient with COPD or emphysema is a candidate for lung transplantation.
Specialty: Pulmonology, Surgery, general
Objective: risk factors, selection
ICD-10: J43.9, J44.9, Z94.2,