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Ex vivo lung perfusion (EVLP) is an established strategy to evaluate and optimize high-risk donor lungs that would otherwise be rejected for transplantation mainly due to the presence of edema or infection. Extracorporeal circuits may negatively affects pharmacokinetic (PK) of several drugs including antibiotics, thus exposing patients to risk of therapeutic failure or drug toxicity. The investigators set out to examine the concentration of imipenem in lung perfusate and in lung biopsy during EVLP, and its clinical impact.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EVLP group | All lungs from brain dead donors that were considered at high-risk for transplantation and underwent EVLP in the Turin lung transplantation program |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| normothermic ex vivo lung perfusion | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| imipenem concentration | concentration of imipenem in lung perfusate and in lung biopsy during EVLP | change from baseline in imipenem concentration at 6 hours |
| Measure | Description | Time Frame |
|---|---|---|
| pathogens isolated from donors | 48 hours before lung procurement | |
| pathogens isolated from recipients | 48 hours after lung transplantation | |
| Clinical Pulmonary Infection Score |
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Inclusion Criteria:
Exclusion Criteria:
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lungs from brain dead donors that were considered at high-risk for transplantation and underwent EVLP
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Vito Fanelli, MD, PhD | Contact | 0039011633 | 4005 | vito.fanelli@unito.it |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Turin - Azienda Ospedaliera Città della Salute e della Scienza di Torino | Recruiting | Turin | Turin | 10126 | Italy |
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| at 72 hours after lung transplantation |
| Primary graft dysfunction | at 72 hours after lung transplantation |
| Days of mechanical ventilation | at 28 days |
| Intensive Care Unit length of stay | at day 28 |