Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5674451 | Revue de Pneumologie Clinique | 2017 | 6 Pages |
Abstract
Lung transplantation (LT) is a therapeutic option for patients with terminal respiratory failure and high risk of mortality in two years. Until now, this activity is not performed in Reunion Island. The candidate potential are thus directed to the metropolitan reference centres causing logistics and financials constraints. This work presents a current situation of the pulmonary transplantation in Reunion Island. This retrospective study includes patients from Reunion Island with respiratory insufficiency who have been transferred to metropolitan centres to apply to LT. The selection was made from January, 2005Â till May, 2015. Twenty-nine patients included, aged from 14Â to 64Â years, were transferred to metropolitan France: 13Â patients with cystic fibrosis, 13Â patients with pulmonary fibrosis, 1Â patients with bronchiectasis, 1Â patient with chronic obstructive pulmonary disease (COPD) and 1Â patient with pulmonary arterial hypertension. Fifteen patients underwent LT (4Â live in Reunion Island, 5Â live in metropolitan France and 6Â are dead), 1Â patient is alive on waiting list, 3Â died on the waiting list, 7Â patients were refused for transplantation and 3Â patients are lost to follow-up. The number of patients transferred for LT increases over 10Â years with a maximal incidence in 2013Â of 7Â repatriated patients including 3Â transplanted patients. LT could be performed in half of our patients with possible come back and follow-up on Reunion Island. Indications follow the current trends except an under representation of COPD.
Keywords
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Authors
C. Simon, N. Allou, P. Schlossmacher, T. Gendry, L. Delay, V. Gazaille,