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SHOULD CYSTIC FIBROSIS PATIENTS BE PRIORITIZED FOR LUNG TRANSPLANTATION?

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SHOULD CYSTIC FIBROSIS PATIENTS BE PRIORITIZED FOR LUNG TRANSPLANTATION?

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C. Piwkowski2, D. Van Raemdonck1, L. Dupont1, G.M. Verleden1, K. De Boeck1, W. Coosemans1, G. Decker1, P. De Leyn1, P. Nafteux1, T. Lerut1 1Leuven University Hospitals, Leuven, Belgium; 2AM University of Medical Sciences, Poznan, Poland Objective: Lung allocation in Eurotransplant is currently based on waiting time and urgency but does not consider probability of post-transplant survival. We report our institutional experience with lung transplantation (LTx) in cystic fibrosis (CF) patients comparing long-term outcome with non-CF double-lung recipients. Methods: Of 361 transplants (355 patients) between 1991 and 2006, 50 were performed in 49 (13.8%) CF patients (1 SLTx and 49 SSLTx including 1 liver-LTx, 2 lobar-LTx, and 1 redo-LTx) with mean age of 27.2±9.1 years and BMI of 18±2. Seven patients had previous thoracic procedures (pneumonectomyone, lobectomy-two, pleurodesis-six). Results: Bilateral anterior thoracotomies, clamshell incision or sequential postero-lateral thoracotomies we

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