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Article: Innovative Invasive Loco-Regional Techniques for the Treatment of Lung Cancer.

Claes, Erik / Wener, Reinier / Neyrinck, Arne P / Coppens, Axelle / Van Schil, Paul E / Janssens, Annelies / Lapperre, Thérèse S / Snoeckx, Annemiek / Wen, Wen / Voet, Hanne / Verleden, Stijn E / Hendriks, Jeroen M H

Cancers

2023 Volume 15, Issue 8

Abstract: Surgical resection is still the standard treatment for early-stage lung cancer. A multimodal treatment consisting of chemotherapy, radiotherapy and/or immunotherapy is advised for more advanced disease stages (stages IIb, III and IV). The role of surgery ...

Abstract	Surgical resection is still the standard treatment for early-stage lung cancer. A multimodal treatment consisting of chemotherapy, radiotherapy and/or immunotherapy is advised for more advanced disease stages (stages IIb, III and IV). The role of surgery in these stages is limited to very specific indications. Regional treatment techniques are being introduced at a high speed because of improved technology and their possible advantages over traditional surgery. This review includes an overview of established and promising innovative invasive loco-regional techniques stratified based on the route of administration, including endobronchial, endovascular and transthoracic routes, a discussion of the results for each method, and an overview of their implementation and effectiveness.
Language	English
Publishing date	2023-04-11
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2527080-1
ISSN	2072-6694
ISSN	2072-6694
DOI	10.3390/cancers15082244
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Article ; Online: Endovascular transatrial stenting of pulmonary vein stenosis after lung transplantation.

Orlitová, Michaela / Gewillig, Marc / Van Slambrouck, Jan / Vlasselaers, Dirk / Jacobs, Bart / Neyrinck, Arne P / Depypere, Lieven / Godinas, Laurent / Vos, Robin / Verleden, Geert M / Van Raemdonck, Dirk E / Ceulemans, Laurens J

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons

2023 Volume 23, Issue 1, Page(s) 111–114

Abstract: Pulmonary vein stenosis (PVS) and pulmonary vein occlusion (PVO) represent rare complications after lung transplantation (LTx), with limited therapeutic options and a high risk of graft loss. We present 2 cases of successful endovascular transatrial ... ...

Abstract	Pulmonary vein stenosis (PVS) and pulmonary vein occlusion (PVO) represent rare complications after lung transplantation (LTx), with limited therapeutic options and a high risk of graft loss. We present 2 cases of successful endovascular transatrial stenting following double LTx. A 60-year-old woman with chronic obstructive pulmonary disease who underwent double lobar LTx was diagnosed at postoperative day 72 with a high-grade PVS on the left side. A 22-year-old woman with idiopathic pulmonary arterial hypertension who underwent double LTx was diagnosed 9 days later with PVO of the left upper lobe vein. To avoid surgical reintervention, endovascular transatrial dilatation and stenting were performed successfully in both cases. Transatrial endovascular stenting of PVS or PVO after LTx seems an effective and safe treatment option that should be considered for these life-threatening complications and executed with care.
MeSH term(s)	Female ; Humans ; Middle Aged ; Young Adult ; Adult ; Stenosis, Pulmonary Vein/surgery ; Stenosis, Pulmonary Vein/complications ; Pulmonary Veins/surgery ; Pulmonary Veno-Occlusive Disease/etiology ; Pulmonary Veno-Occlusive Disease/surgery ; Lung ; Lung Diseases/complications ; Lung Transplantation/adverse effects ; Treatment Outcome ; Retrospective Studies
Language	English
Publishing date	2023-01-11
Publishing country	United States
Document type	Case Reports
ZDB-ID	2060594-8
ISSN	1600-6143 ; 1600-6135
ISSN (online)	1600-6143
ISSN	1600-6135
DOI	10.1111/ajt.17202
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Zs.A 5542: Show issues

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Article ; Online: Implementation of an enhanced recovery protocol for lung volume reduction surgery: an observational cohort study.

Vandervelde, Christelle M / Everaerts, Stephanie / Weder, Walter / Orolé, Siebe / Hermans, Pieter-Jan / De Leyn, Paul / Nafteux, Philippe / Decaluwé, Herbert / Van Veer, Hans / Depypere, Lieven / Coppens, Steve / Neyrinck, Arne P / Bouneb, Sofian / De Coster, Johan / Coolen, Johan / Dooms, Christophe / Van Raemdonck, Dirk E / Janssens, Wim / Ceulemans, Laurens J

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

2024 Volume 65, Issue 4

Abstract: ... incidence of postoperative complications (42% vs 83%, P=0.0002), shorter chest tube duration (4 vs 12 days ... P<0.0001) with a lower incidence of PAL (21% vs 61%, P=0.0005) and shorter LOS (6 vs 14 days, P<0 ...

Abstract	Objectives: Lung volume reduction surgery (LVRS) is an established therapeutic option for advanced emphysema. To improve patients' safety and reduce complications, an enhanced recovery protocol (ERP) was implemented. This study aims to describe and evaluate the short-term outcome of this ERP. Methods: This retrospective single-centre study included all consecutive LVRS patients (1 January 2017 until 15 September 2020). An ERP for LVRS was implemented and stepwise optimised from 1 August 2019, it consisted of changes in pre-, peri- and postoperative care pathways. Patients were compared before and after implementation of ERP. Primary outcome was incidence of postoperative complications (Clavien-Dindo), and secondary outcomes included chest tube duration, incidence of prolonged air leak (PAL), length of stay (LOS) and 90-day mortality. Lung function and exercise capacity were evaluated at 3 and 6 months post-LVRS. Results: Seventy-six LVRS patients were included (pre-ERP: n=41, ERP: n=35). The ERP cohort presented with lower incidence of postoperative complications (42% vs 83%, P=0.0002), shorter chest tube duration (4 vs 12 days, P<0.0001) with a lower incidence of PAL (21% vs 61%, P=0.0005) and shorter LOS (6 vs 14 days, P<0.0001). No in-hospital mortality occurred in the ERP cohort versus 4 pre-ERP. Postoperative forced expiratory volume in 1 s was higher in the ERP cohort compared to pre-ERP at 3 months (1.35 vs 1.02 l) and at 6 months (1.31 vs 1.01 l). Conclusions: Implementation of ERP as part of a comprehensive reconceptualisation towards LVRS, demonstrated fewer postoperative complications, including PAL, resulting in reduced LOS. Improved short-term functional outcomes were observed at 3 and 6 months.
MeSH term(s)	Humans ; Pneumonectomy/methods ; Retrospective Studies ; Pulmonary Emphysema ; Forced Expiratory Volume ; Postoperative Complications/epidemiology ; Postoperative Complications/prevention & control ; Postoperative Complications/surgery ; Treatment Outcome ; Observational Studies as Topic
Language	English
Publishing date	2024-03-20
Publishing country	Germany
Document type	Journal Article
ZDB-ID	639293-3
ISSN	1873-734X ; 1010-7940 ; 1567-4258
ISSN (online)	1873-734X
ISSN	1010-7940 ; 1567-4258
DOI	10.1093/ejcts/ezae109
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Zs.A 2303: Show issues

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Article ; Online: Lung transplantation following donation after thoraco-abdominal normothermic regional perfusion (TA-NRP): A feasibility case study.

Boelhouwer, Caroline / Vandendriessche, Katrien / Van Raemdonck, Dirk / Jochmans, Ina / Monbaliu, Diethard / Degezelle, Karlien / Gunst, Jan / Vandenbriele, Christophe / Van Beersel, Dieter / Vos, Robin / Verleden, Geert M / Rega, Filip / Neyrinck, Arne P / Ceulemans, Laurens J

The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation

2022 Volume 41, Issue 12, Page(s) 1864–1867

MeSH term(s)	Humans ; Feasibility Studies ; Perfusion ; Organ Preservation ; Lung Transplantation ; Tissue Donors ; Tissue and Organ Procurement ; Death ; Graft Survival
Language	English
Publishing date	2022-09-20
Publishing country	United States
Document type	Letter
ZDB-ID	1062522-7
ISSN	1557-3117 ; 1053-2498
ISSN (online)	1557-3117
ISSN	1053-2498
DOI	10.1016/j.healun.2022.09.011
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Zs.A 2056: Show issues

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Article: Off-pump lung re-transplantation avoiding clamshell thoracotomy is feasible and safe: a single-center experience.

Jin, Xin / Vanluyten, Cedric / Orlitová, Michaela / Van Slambrouck, Jan / Vos, Robin / Verleden, Geert M / Godinas, Laurent / Neyrinck, Arne P / Ingels, Catherine / Vanaudenaerde, Bart M / De Leyn, Paul / Van Veer, Hans / Depypere, Lieven / Zhang, Yi / Van Raemdonck, Dirk E M / Ceulemans, Laurens J

Journal of thoracic disease

2023 Volume 15, Issue 10, Page(s) 5811–5822

Abstract: Background: Lung re-transplantation (re-LTx) is the only therapeutic option for selected patients with advanced allograft dysfunction. This study aims to describe our center's experience to illustrate the feasibility and safety of off-pump re-LTx ... ...

Abstract	Background: Lung re-transplantation (re-LTx) is the only therapeutic option for selected patients with advanced allograft dysfunction. This study aims to describe our center's experience to illustrate the feasibility and safety of off-pump re-LTx avoiding clamshell incision. Methods: We performed a retrospective analysis of 42 patients who underwent bilateral re-LTx between 2007 and 2021. Patients were classified according to their surgical approach and extracorporeal life support (ECLS)-use. Demographics, surgical technique, and short- and long-term outcomes were compared between groups. Continuous data were examined with an independent-sample Results: Twenty-six patients (61.9%) underwent re-LTx by anterior thoracotomy without ECLS. Compared to the more invasive approach (thoracotomy with ECLS and clamshell with/without ECLS, n=16, 38.1%), clamshell-avoiding off-pump re-LTx patients had a shorter operative time (471.6±111.2 Conclusions: Our experience shows that clamshell-avoiding off-pump re-LTx is feasible and safe in selected patients on a case-by-case evaluation.
Language	English
Publishing date	2023-10-25
Publishing country	China
Document type	Journal Article
ZDB-ID	2573571-8
ISSN	2077-6624 ; 2072-1439
ISSN (online)	2077-6624
ISSN	2072-1439
DOI	10.21037/jtd-23-64
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Article ; Online: Interalveolar Pores Increase in Aging and Severe Airway Obstruction.

Vanstapel, Arno / Weynand, Birgit / Kaes, Janne / Neyrinck, Arne P / Ceulemans, Laurens J / Vanaudenaerde, Bart M / Vos, Robin / Verleden, Geert M / Ackermann, Maximilian / Verleden, Stijn E

American journal of respiratory and critical care medicine

2021 Volume 204, Issue 7, Page(s) 862–865

MeSH term(s)	Adult ; Aged ; Aging/pathology ; Bronchiolitis Obliterans/pathology ; Female ; Humans ; Linear Models ; Male ; Middle Aged ; Pulmonary Alveoli/pathology
Language	English
Publishing date	2021-09-15
Publishing country	United States
Document type	Letter ; Research Support, Non-U.S. Gov't
ZDB-ID	1180953-x
ISSN	1535-4970 ; 0003-0805 ; 1073-449X
ISSN (online)	1535-4970
ISSN	0003-0805 ; 1073-449X
DOI	10.1164/rccm.202102-0530LE
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Uh II Zs.80: Show issues

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Article ; Online: Aspergillus-Specific IgG Antibodies are Associated With Fungal-Related Complications and Chronic Lung Allograft Dysfunction After Lung Transplantation.

Transplant international : official journal of the European Society for Organ Transplantation

2023 Volume 36, Page(s) 10768

Abstract: Fungal exposure and sensitization negatively affect outcomes in various respiratory diseases, however, the effect of fungal sensitization in lung transplant (LTx) recipients is still unknown. We performed a retrospective cohort study of prospectively ... ...

Abstract	Fungal exposure and sensitization negatively affect outcomes in various respiratory diseases, however, the effect of fungal sensitization in lung transplant (LTx) recipients is still unknown. We performed a retrospective cohort study of prospectively collected data on circulating fungal specific IgG/IgE antibodies, and their correlation with fungal isolation, chronic lung allograft dysfunction (CLAD) and overall survival after LTx. 311 patients transplanted between 2014 and 2019 were included. Patients with elevated
MeSH term(s)	Humans ; Retrospective Studies ; Lung Transplantation ; Immunoglobulin G ; Immunoglobulin E ; Lung ; Allografts
Chemical Substances	Immunoglobulin G ; Immunoglobulin E (37341-29-0)
Language	English
Publishing date	2023-02-16
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	639435-8
ISSN	1432-2277 ; 0934-0874
ISSN (online)	1432-2277
ISSN	0934-0874
DOI	10.3389/ti.2023.10768
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Zs.A 2358: Show issues

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Article ; Online: The hemodynamic interplay between pulmonary ischemia-reperfusion injury and right ventricular function in lung transplantation: a translational porcine model.

Orlitová, Michaela / Verbelen, Tom / Frick, Anna E / Vanstapel, Arno / Van Beersel, Dieter / Ordies, Sofie / Van Slambrouck, Jan / Kaes, Janne / Jin, Xin / Coudyzer, Walter / Verleden, Stijn E / Verleden, Geert M / Vanaudenaerde, Bart M / Van Raemdonck, Dirk E / Vos, Robin / Ceulemans, Laurens J / Claus, Piet / Neyrinck, Arne P

American journal of physiology. Lung cellular and molecular physiology

2023 Volume 325, Issue 5, Page(s) L675–L688

Abstract: Lung transplantation (LTx) is a challenging procedure. Following the process of ischemia-reperfusion injury, the transplanted pulmonary graft might become severely damaged, resulting in primary graft dysfunction. In addition, during the intraoperative ... ...

Abstract	Lung transplantation (LTx) is a challenging procedure. Following the process of ischemia-reperfusion injury, the transplanted pulmonary graft might become severely damaged, resulting in primary graft dysfunction. In addition, during the intraoperative window, the right ventricle (RV) is at risk of acute failure. The interaction of right ventricular function with lung injury is, however, poorly understood. We aimed to address this interaction in a translational porcine model of pulmonary ischemia-reperfusion injury. Advanced pulmonary and hemodynamic assessment was used, including right ventricular pressure-volume loop analysis. The acute model was based on clamping and unclamping of the left lung hilus, respecting the different hemodynamic phases of a clinical lung transplantation. We found that forcing entire right ventricular cardiac output through a lung suffering from ischemia-reperfusion injury increased afterload (pulmonary vascular resistance from baseline to end experiment
MeSH term(s)	Swine ; Animals ; Lung Injury ; Ventricular Function, Right ; Troponin T ; Lung ; Hemodynamics/physiology ; Lung Transplantation ; Reperfusion Injury ; Heart Failure ; Ventricular Dysfunction, Right
Chemical Substances	Troponin T
Language	English
Publishing date	2023-09-19
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1013184-x
ISSN	1522-1504 ; 1040-0605
ISSN (online)	1522-1504
ISSN	1040-0605
DOI	10.1152/ajplung.00281.2022
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Uc I Zs.89: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)
Zs.A 2749: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Prognostic Value of Chest CT Findings at BOS Diagnosis in Lung Transplant Recipients.

Transplantation

2023 Volume 107, Issue 11, Page(s) e292–e304

Abstract: ... severity score at BOS diagnosis (P = 0.046) and high subscores for mucous plugging (P = 0.0018 ... peribronchial thickening (P = 0.0004), or parenchymal involvement (P = 0.0121) are related to worse ... graft survival. A high total Brody II score was associated with a shorter time to BOS onset (P = 0.0058), lower ...

Abstract	Background: Bronchiolitis obliterans syndrome (BOS) after lung transplantation is characterized by fibrotic small airway remodeling, recognizable on high-resolution computed tomography (HRCT). We studied the prognostic value of key HRCT features at BOS diagnosis after lung transplantation. Methods: The presence and severity of bronchiectasis, mucous plugging, peribronchial thickening, parenchymal anomalies, and air trapping, summarized in a total severity score, were assessed using a simplified Brody II scoring system on HRCT at BOS diagnosis, in a cohort of 106 bilateral lung transplant recipients transplanted between January 2004 and January 2016. Obtained scores were subsequently evaluated regarding post-BOS graft survival, spirometric parameters, and preceding airway infections. Results: A high total Brody II severity score at BOS diagnosis (P = 0.046) and high subscores for mucous plugging (P = 0.0018), peribronchial thickening (P = 0.0004), or parenchymal involvement (P = 0.0121) are related to worse graft survival. A high total Brody II score was associated with a shorter time to BOS onset (P = 0.0058), lower forced expiratory volume in 1 s (P = 0.0006) forced vital capacity (0.0418), more preceding airway infections (P = 0.004), specifically with Pseudomonas aeruginosa (P = 0.002), and increased airway inflammation (P = 0.032). Conclusions: HRCT findings at BOS diagnosis after lung transplantation provide additional information regarding its underlying pathophysiology and for future prognosis of graft survival.
MeSH term(s)	Humans ; Prognosis ; Bronchiolitis Obliterans/diagnostic imaging ; Bronchiolitis Obliterans/etiology ; Transplant Recipients ; Lung/diagnostic imaging ; Lung Transplantation/adverse effects ; Tomography, X-Ray Computed/methods ; Bronchiolitis Obliterans Syndrome ; Forced Expiratory Volume ; Retrospective Studies
Language	English
Publishing date	2023-10-21
Publishing country	United States
Document type	Journal Article
ZDB-ID	208424-7
ISSN	1534-6080 ; 0041-1337
ISSN (online)	1534-6080
ISSN	0041-1337
DOI	10.1097/TP.0000000000004726
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Zs.A 488: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article: CT-based Machine Learning for Donor Lung Screening Prior to Transplantation.

Ram, Sundaresh / Verleden, Stijn E / Kumar, Madhav / Bell, Alexander J / Pal, Ravi / Ordies, Sofie / Vanstapel, Arno / Dubbeldam, Adriana / Vos, Robin / Galban, Stefanie / Ceulemans, Laurens J / Frick, Anna E / Van Raemdonck, Dirk E / Verschakelen, Johny / Vanaudenaerde, Bart M / Verleden, Geert M / Lama, Vibha N / Neyrinck, Arne P / Galban, Craig J

medRxiv : the preprint server for health sciences

2023

Abstract: Background: Assessment and selection of donor lungs remains largely subjective and experience based. Criteria to accept or decline lungs are poorly standardized and are not compliant with the current donor pool. Using ex vivo CT images, we investigated ... ...

Abstract	Background: Assessment and selection of donor lungs remains largely subjective and experience based. Criteria to accept or decline lungs are poorly standardized and are not compliant with the current donor pool. Using ex vivo CT images, we investigated the use of a CT-based machine learning algorithm for screening donor lungs prior to transplantation. Methods: Clinical measures and ex-situ CT scans were collected from 100 cases as part of a prospective clinical trial. Following procurement, donor lungs were inflated, placed on ice according to routine clinical practice, and imaged using a clinical CT scanner prior to transplantation while stored in the icebox. We trained and tested a supervised machine learning method called Results: Of the 100 lung pairs donated, 70 were considered acceptable for transplantation (based on standard clinical assessment) prior to CT screening and were consequently implanted. The remaining 30 pairs were screened but not transplanted. Our machine learning algorithm was able to detect pulmonary abnormalities on the CT scans. Among the patients who received donor lungs, our algorithm identified recipients who had extended stays in the ICU and were at 19 times higher risk of developing CLAD within 2 years post-transplant. Conclusions: We have created a strategy to ex vivo screen donor lungs using a CT-based machine learning algorithm. As the use of suboptimal donor lungs rises, it is important to have in place objective techniques that will assist physicians in accurately screening donor lungs to identify recipients most at risk of post-transplant complications.
Language	English
Publishing date	2023-03-29
Publishing country	United States
Document type	Preprint
DOI	10.1101/2023.03.28.23287705
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