INTEGRIS Nazih Zuhdi Transplant Institute

Lung Transplant Criteria List

Potential recipients of lung transplants at the INTEGRIS Nazih Zuhdi Transplant Institute must meet the following lung transplant criteria to join the lung transplant list. Criteria for a lung transplant include:

Criteria list adapted from JHLT 2006; 25:745-755; early referral highly desirable

  • Cystic Fibrosis
    • FEV1 <30% predicted or rapidly decreasing FEV1
    • Pulmonary hypertension
    • Increasing antibiotic resistance
    • Life-threating hemoptysis
  • COPD
    • BODE index >5
    • PaCO2 >50% or PaO2 <60%
    • FEV1 <25% predicted
    • Interstitial Lung Disease

    • FVC<80% predicted or DLCO <40% predicted
    • Dyspnea or functional limitations
    • O2 required with exertion
  • Pulmonary fibrosis 

Contraindication to Lung Transplant

  • Inability to cooperate or comply with medical therapy
  • Absence of a consistent or reliable social support system
  • Untreatable advanced dysfunction of another major organ (kidney, heart, etc.)
  • Active malignancy within past 2 - 5 years
  • Bone marrow failure
  • HIV infection
  • Liver cirrhosis, chronic active hepatitis B or C infection

Referral Criteria for Other INTEGRIS Transplants

More Information On Our Lung Transplant Surgery Program