Lung Transplantation for Cystic Fibrosis in Turkey: First Report

• Published in: Experimental and clinical transplantation Vol. 19; no. 5; pp. 481 - 488
• Main Authors: Vayvada, Mustafa, Halis, Ayşe Nigar, Saribas, Ertan, Uygun Kizmaz, Yeşim, Çardak, Murat Ersin, Erkilic, Atakan, Tasci, Erdal
• Format: Journal Article
• Language: English
• Published: Turkey Başkent Üniversitesi 01-05-2021
• Subjects: Adolescent; Adult; Child; Cystic Fibrosis - diagnosis; Cystic Fibrosis - surgery; Graft vs Host Disease; Humans; Lung Transplantation; Quality of Life; Tıp; Turkey; Young Adult; Turkey; Ankara; Türkiye; Advanced lung disease; Referral; Lung transplantation
• ISSN: 1304-0855; 2146-8427
• DOI: 10.6002/ect.2020.0282

Lung transplant is the most important treatment approach that improves the life expectancy and quality of life for patients with cystic fibrosis with end-stage lung disease. In this study, we retros-pectively analyzed patients with cystic fibrosis who were referred to our lung transplant program in Turkey.
We evaluated 14 patients with cystic fibrosis who were referred to our lung transplant clinic between December 2016 and December 2019. The characteristics of the patients at the time of referral to our lung transplant clinic, survival, and lung transplant results were recorded.
Four patients died on the wait list, 3 patients were not eligible for lung transplant, and lung transplant was performed in 7 patients. The mean age of all patients was 22.8 years (range, 11-41 years), and the mean age for patients who underwent lung transplant was 27.5 years (range, 21-41 years). The mean time of suitable donor offer or survival life was 140 days in the patients who were referred for lung transplant. The 1-year mortality rate was 28.6% (2 of 7 patients) after lung transplant. One patient died of chronic lung allograft dysfunction at the 25th month after lung transplant. Four patients were alive without any problems.
Lung transplant is the final treatment method for patients with cystic fibrosis with terminal period lung disease. To provide the best benefit, patients should be evaluated for transplant early. Cystic fibrosis care clinics and lung transplant clinics should work in coordination in order to increase the number of lung transplants and improve outcomes.