Lung transplant success

Lung transplant success


It was a great year for our program, a great
year for our patients. With 70 transplants that was a record in the
state of Florida. We are now a top ten program in the nation in terms of volume.
Our survival is excellent in terms of a post transplant survival and also
another key component of our strength, I think is the wait list mortality. We have
the lowest wait list mortality in the country when you take into account
programs we’ve moderate or large volume of transplants. What we’ve seen is that
other centers, they have declined patients you know for you know different
reasons. You know it’s high-risk, high-complexity
and in you know they end up being referred to us. Our team has the
expertise and capability to take care of these patients who are extremely sick. So
obviously if you if we are growing the number of transplants we are doing we’re
having to have access to more lungs. So what we have been doing is several
processes that we put in place to be able to bring more lung to our patients
and they go from being more aggressive on donor lung selection. Going more often
to the donor site to evaluate the lungs by ourselves and then it goes from a
spectrum to doing all of that to what we call the ex vivo lung perfusion which is
this technology that you’re able to bring the donor lungs to your own site
and and assess them on a specific device and oftentimes what we see is that
conditions that were concerning in the in the initial donor evaluation, they
improve and these lungs are they they turn out to be excellent quality donor
lungs. Another technique that we have been using here at our lung transplant
program is what’s called lobar transplantation. So if you think that
oftentimes these patients with short stature it is difficult to be able
to match donor lungs with their size. So what we have been
doing here is a is an advanced technique that we basically resize that donor
lungs and we instead of transmitting the entire lung we transplant a lobe and
that has helped a lot on these patients, specific ones who short stature in terms
of reducing their weight and and also preventing them from dying on the wait
list with never having access to donor lungs. So I think age is another
extremely important aspect to discuss about lung transplant candidacy. We are
seeing older patients, they’re getting to their 70s, 75 years, that the only problem
that they have is their lungs. So their hearts are healthy, they are strong, their
bones are strong, they are conditioned, so these patients nowadays they are the
fastest growing population receiving a lung transplant. So patients older than
65 and also that have interstitial lung disease. Seeing the program the way that it
you know the way that is going and it’s very satisfying because we see like when
we go to a bedside, you know like see the patient doing well and seeing how
how you know that life has been changed. It all comes to the more you do the
better you get on that so we’re able to establish a team that works as a whole
to provide the best care possible.

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