Lung retransplant. Experience of a referral centre

Consensus document for the selection of lung transplant candidates: An update from the International Society for Heart and Lung Transplantation

“…(1) The outcomes after retransplants are inferior compared to first lung transplants, particularly if the re-transplant is done within the first year after the original transplant or for patients with restrictive allograft syndrome (RAS). (1,139,140,(145)(146)(147)(148)(149) Several studies, however, have found acceptable results for carefully selected recipients. (140,146,150,151) In the pre-transplant evaluation of such patients, particular emphasis should be focused on understanding the possible reasons for the graft failure, such as alloimmunization, poor adherence, GER, or repeated infections.…”