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Article . 2025
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The Journal of Heart and Lung Transplantation
Article . 2025 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
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Octo- and nonagenarian donors in lung transplantation: A dual center experience

Authors: Vanluyten, Cedric; Schoenaers, Charlotte; Novysedlak, Rene; Van Slambrouck, Jan; Vandervelde, Christelle; Beeckmans, Hanne; Havlin, Jan; +7 Authors

Octo- and nonagenarian donors in lung transplantation: A dual center experience

Abstract

The maximal donor age for lung transplantation (LTx) remains controversial, despite favorable outcomes with donors ≥70 years. We report our experience with LTx from donors ≥80 years. Donor/recipient characteristics and short-term postoperative outcome were retrospectively analyzed across two centers between 2016 and 2023. Seventeen patients underwent single (n=2) or double (n=15) LTx from octo- or nonagenarian donors with a median age of 83 years (range 80-94). Most donors were non-smoking females with intracerebral bleeding. Last donor PaO2/FiO2 ratio was 440 mmHg. Three recipients developed PGD3 at 72h. Median ICU and hospital stay were 11 and 29 days, respectively. Five patients showed minimal (A1) ACR at one month post-LTx. Two patients developed CLAD. One- and three-year survival rates were 84% and 70%. Our case series indicates that LTx from well-selected octo- and nonagenarian donors is a valuable option to expand the donor pool.

Country
Belgium
Related Organizations
Keywords

Male, Aged, 80 and over, Transplantation, Aging, Science & Technology, Cardiac & Cardiovascular Systems, donor age, Respiratory System, aging, Age Factors, 3202 Clinical sciences, Donor Age, Tissue Donors, Survival Rate, Cardiovascular System & Cardiology, lung transplantation, Humans, Surgery, Female, 3201 Cardiovascular medicine and haematology, Life Sciences & Biomedicine, 1102 Cardiorespiratory Medicine and Haematology, Lung Transplantation, Retrospective Studies

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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Top 10%
Average
Average
Green