ISHLT Consensus Statement on Adult and Pediatric Airway Complications after Lung Transplantation
Definitions, Grading System, and Therapeutics
Published 7 February 2018
Maria M. Crespo, MD; Daniel P. McCarthy, MD; Peter M. Hopkins, MD; Stephen C. Clark, MD; Marie Budev, DO; Christian A. Bermudez, MD; Christian Benden, MD; Pirooz Eghtesady, MD; Erika D. Lease, MD; Lorriana Leard, MD; Jonathan D’Cunha, MD; Christopher H. Wigfield, MD; Marcelo Cypel, MD; Joshua M. Diamond, MD; James J. Yun, MD; Lonny Yarmus, DO; Michael Machuzak, MD; Walter Klepetko, MD; Geert Verleden, MD; Konrad Hoetzenecker, MD; Göran Dellgren, MD; Michael Mulligan, MD
J Heart Lung Transplant. May 2018;37(5):548-63
Airway complications remain a major cause of morbidity and mortality after cardiothoracic transplantation. The reported incidence of airway ischemic complications varies widely, contributed to by the lack of a universally accepted grading system and standardized definitions. Furthermore, the majority of the existing classification systems fail to integrate the wide range of possible bronchial complications that may develop after lung transplant.
The International Society for Heart and Lung Transplantation convened a working group with the aim of elaborating a universal definition of adult and pediatric airway complications and grading system. One such area of focus is to understand the problem in the context of a more standardized consensus of classifying airway ischemia. This consensus document will have major clinical, therapeutics, and research implications.
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