A Study of Venoarterial ECMO vs Off-Pump Bilateral Orthotopic Lung Transplantation
NCT05547698 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 228
Last updated 2026-05-01
Summary
The purpose of this research study is to compare the technique of performing bilateral lung transplantation off-pump vs venoarterial ECMO (VA ECMO). The goal of the trial is to determine which technique has lower rates of primary graft dysfunction.
Conditions
- Lung Transplant
Interventions
- PROCEDURE
-
Off-pump lung transplantation
General anesthesia, intubation with double lumen tube, thoracotomies or clamshell incision, pneumonectomy starting by the less perfused lung in the scan, stump preparation, lung implantation, reperfusion, gradual release of the pulmonary artery clamp, deairing, ventilation of the 1st implanted lung. The process is repeated at the contralateral side. Ventilation of both lungs, chest closure.
- PROCEDURE
-
Venoarterial ECMO lung transplantation
General anesthesia, intubation with double lumen tube, thoracotomies or clamshell incision, heparin, peripheral or central venoarterial ECMO cannulation, first pneumonectomy, stump preparation, lung implantation, reperfusion, release of the pulmonary artery clamp, deairing, ventilation of the 1st implanted lung. The process is repeated at the contralateral side. Ventilation of both lungs, ECMO decannulation, chest closure.
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Mauricio Villavicencio, MD, MBA · Mayo Clinic
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-09-17
- Primary Completion
- 2026-09-30
- Completion
- 2027-09-30
Countries
- United States
Study Locations
More Related Trials
-
Routine vs On-demand ECMO for Lung Transplantation
NCT06615492 ·Status: RECRUITING ·Phase: NA
-
Novel Lung Trial: Normothermic Ex Vivo Lung Perfusion (Evlp) As An Assessment Of Extended/Marginal Donor Lungs
NCT01365429 ·Status: UNKNOWN ·Phase: NA
-
Personalized Ventilation Based on Ventilation-perfusion Mismatch and Lung Recruitability
NCT06430554 ·Status: RECRUITING
-
WP01 - Normothermic Liver Preservation
NCT02775162 ·Status: COMPLETED ·Phase: NA
-
Electrical Impedance Tomography in One-Lung Ventilation
NCT03728010 ·Status: UNKNOWN
-
EIT-Guided Ventilator Settings in AHRF
NCT06936618 ·Status: RECRUITING ·Phase: NA
-
Early PP Monitored by EIT in Patients With ARDS
NCT05822869 ·Status: RECRUITING ·Phase: NA
-
Physiological Effects of Lung Impedance Tomography-Guided and Plat Pressure-Guided Phigh During APRV in Patients With ARDS
NCT06696638 ·Status: RECRUITING ·Phase: NA
-
Ultra-protective Ventilation Monitored by Electrical Impedance Tomography in Patients With Severe Acute Respiratory Distress Syndrome on Veno-venous ECMO
NCT05717218 ·Status: RECRUITING ·Phase: NA
-
Effect of Different VV ECMO Flows on Lung Perfusion Monitored by EIT
NCT05778292 ·Status: UNKNOWN
-
Non-Invasive Measurements of Changes in Pulmonary Artery Pressure in Intensive Care Unit Patients Using Electrical Impedance Tomography - A Feasibility Study
NCT06544148 ·Status: RECRUITING
-
Post- End- Expiratory Pressure Affect the Alveolar Heterogeneity in Moderate and Sever ARDS Patients
NCT03763890 ·Status: UNKNOWN
-
Evaluation of the Diagnostic Performance of Electrical Impedance Tomography to Detect Situations at Risk of Lesions Induced by Conventional Mechanical Ventilation in ARDS
NCT02896673 ·Status: COMPLETED ·Phase: NA
-
Titration of PEEP During Mechanical Ventilation in Patients With ARDS Using Electrical Impedance Tomography.
NCT02596178 ·Status: WITHDRAWN ·Phase: NA
-
Accuracy of ECOM Plus Versus Pulmonary Artery Catheter
NCT04858126 ·Status: COMPLETED ·Phase: NA
-
A Study Evaluating an Advanced Pneumatic Compression Device Versus Usual Care for Treatment of Head and Neck Lymphedema
NCT04797390 ·Status: COMPLETED ·Phase: NA
-
Impact of Belt Position on the Results of PEEP Titration by EIT During ARDS
NCT06541522 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Electrical Impedance Tomography: Collapse in Dependent Areas as a Predictor of Response to Prone Position Ventilation in COVID-19 Acute Respiratory Distress Syndrome
NCT04603755 ·Status: COMPLETED
-
Combining Electrical Impedance Tomography and Thoracic Ultrasound Toinvestigate Dynamic Changes
NCT06958770 ·Status: NOT_YET_RECRUITING
-
EIT Assessment of Lung Volume and Tidal Distribution: A Comparison of Non-Invasive Ventilation Devices
NCT02930174 ·Status: COMPLETED ·Phase: NA
-
Diaphragm Structure and Pathobiology in Patients Being Bridged to Lung Transplant
NCT03667027 ·Status: RECRUITING
-
EIT Assessment of Overdistension in ARDS Patients in Prone Position
NCT06536543 ·Status: RECRUITING
-
Association Between EIT and CT During PEEP Titration in Patients With Acute Respiratory Failure
NCT07175194 ·Status: RECRUITING
-
Epidural Block Impairs HPV During One-lung Ventilation: an EIT- Based Prospective Observation Study
NCT04730089 ·Status: UNKNOWN
-
Electrical Impedance Tomography-Based Prognostic Model for ARDS
NCT06967207 ·Status: RECRUITING