Search results for: Transplant Services

Lung transplant recipient populations evolve with advances in medical therapies

Cystic fibrosis (CF) and pulmonary hypertension (PH) were once common categories for referral to lung transplant. However, advances in medical therapies have allowed many patients with these diseases to avoid transplant. Today, at most transplant centers throughout the world, lung transplants are being performed on increasingly older patients, primarily with interstitial lung disease (ILD) followed by chronic obstructive pulmonary disease (COPD).  Unlike CF and PH, few treatments with the ability to extend survival currently exist for ILD, specifically idiopathic pulmonary fibrosis (IPF), and COPD. When these patients continue to decline despite maximized medical therapy, surgical options may be indicated.

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Lung transplantation in the context of COVID-19-induced chronic lung disease

Editorial by Todd Grazia, MD, Chief of Transplant Pulmonology, Baylor University Medical Center

When SARS Co-V2 arrived on U.S. shores in early 2020, physicians in all specialties faced an enormous learning curve. As many have said, we didn’t know what we didn’t know about the coronavirus. Some patients seemed to skate through the infection, while others were laid up with flu-like symptoms for a few weeks, and yet others developed severe respiratory failure from ARDS and died. Pulmonologists and intensivists were tasked with caring for and trying to treat a critical patient population whose lungs seemed to be systematically attacked, and often, permanently damaged by the virus. As the pandemic continued to rage and upend lives, transplant pulmonologists faced a daunting ethical dilemma: Should we or should we not consider lung transplantation for patients with irreversible lung damage from COVID-19?

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Baylor University Medical Center performs 1,000th heart transplant

Baylor University Medical Center, part of Baylor Scott & White Health, in fall 2020 performed its 1,000th heart transplant. Consistently ranked as a national leader in cardiovascular healthcare, Baylor Dallas is the largest heart transplant program in Texas, having performed more heart transplants than any other program in the state, including many multi-organ transplants, such as heart-kidney and heart-liver. Baylor Dallas also has the shortest wait time from listing to transplant in the state.

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Robotic hepatectomy greatly enhances surgical view and access to critical structures, resulting in a safe operation with big benefits to patients

Amar Gupta, MD, FRCS(C), an abdominal transplant and hepatopancreatobiliary surgeon on the medical staff at Baylor University Medical Center, was skeptical about the benefits of the robotic surgical system in complex liver surgeries. He saw it as a gimmick, something that was more industry-driven than something that would offer a real benefit to patients. After a week’s observation of a surgeon in Riyadh, Saudi Arabia, who has performed more than 200 robotic hepatectomies, Dr. Gupta became a true believer in its value.

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