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Lung Transplant Referral Criteria

Please find our lung transplant referral guidelines for specific diseases listed below: COPD
  • BODE Index exceeding 5
  • FEV1 < 25% or PCO2 > 55 or Resting Hypoxemia
  • Pulmonary Hypertension or Cor Pulmonale
  • Deteriorating Clinical Course

Cystic Fibrosis

  • FEV1 < 30%
  • Rapid declining FEV1
  • PAO2 < 50 or PCO2 > 55
  • Weight Loss
  • Massive hemoptysis
  • Refractory or recurrent pneumothorax
  • Frequent hospitalizations

Lymphangioleiomyomatosis (LAM)

  • NYHA Functional Class III or IV
  • Hypoxemia at rest
  • Severe impairment in lung function and exercise (VO2 <50% predicted)

Pulmonary Fibrosis (UIP/NSIP)

  • Refer at the time of diagnosis (radiographic or histologic presence)
  • FVC <70% = 2 year survival of 50%
  • FVC <60% = 2 year survival of 20%
  • DLCO <50%
  • Hypoxemia
  • Poor performance status
  • Desaturation on exercise

Primary Pulmonary Hypertension

  • NYHA Functional Class III or IV, Irrespective of Ongoing therapy
  • Low (<350 meter) or declining 6 MWT
  • Cardiac index < 2 L per min/M2
  • Right Atrial Pressure >15 mmHg
  • Poor survival without treatment (eg epoprostenol)

Sarcoidosis

  • NYHA Functional Class III or IV
  • Hypoxemia at rest
  • Pulmonary Hypertension
  • Right Atrial Pressure >15mmHg