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10.1186/s12890-016-0308-z

http://scihub22266oqcxt.onion/10.1186/s12890-016-0308-z
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suck abstract from ncbi


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pmid27863518
      BMC+Pulm+Med 2016 ; 16 (1 ): 156
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  • Safety and efficacy of bridging to lung transplantation with antifibrotic drugs in idiopathic pulmonary fibrosis: a case series #MMPMID27863518
  • Delanote I ; Wuyts WA ; Yserbyt J ; Verbeken EK ; Verleden GM ; Vos R
  • BMC Pulm Med 2016[Nov]; 16 (1 ): 156 PMID27863518 show ga
  • BACKGROUND: Following recent approval of pirfenidone and nintedanib for idiopathic pulmonary fibrosis (IPF), questions arise about the use of these antifibrotics in patients awaiting lung transplantation (LTx). METHODS: Safety and efficacy of antifibrotic drugs in IPF patients undergoing LTx were investigated in a single-centre retrospective cohort analysis. RESULTS: A total of nine patients, receiving antifibrotic therapy for 419?±?315 days until subsequent LTx, were included. No major side effects were noted. Significant weight loss occurred during antifibrotic treatment (p?=?0.0062). FVC tended to stabilize after 12 weeks of treatment in most patients. A moderate decline in FVC, TLC and DLCO was noted during the whole pretransplant time period of antifibrotic therapy. Functional exercise capacity and lung allocation score remained unchanged. No post-operative thoracic wound healing problems, nor severe early anastomotic airway complications were attributable to prior antifibrotic treatment. None of the patients developed chronic lung allograft dysfunction after a median follow-up of 19.8 (11.2-26.5) months; and post-transplant survival was 100% after 1 year and 80% after 2 years. CONCLUSIONS: Antifibrotic drugs can probably be safely administered in IPF patients, possibly attenuating disease progression over time, while awaiting LTx.
  • |*Lung Transplantation [MESH]
  • |Aged [MESH]
  • |Anti-Inflammatory Agents, Non-Steroidal/adverse effects/*therapeutic use [MESH]
  • |Belgium [MESH]
  • |Disease Progression [MESH]
  • |Female [MESH]
  • |Graft Survival [MESH]
  • |Humans [MESH]
  • |Idiopathic Pulmonary Fibrosis/*therapy [MESH]
  • |Indoles/adverse effects/*therapeutic use [MESH]
  • |Lung/physiopathology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Postoperative Complications/epidemiology [MESH]
  • |Pyridones/adverse effects/*therapeutic use [MESH]
  • |Retrospective Studies [MESH]
  • |Tertiary Care Centers [MESH]


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