Key Clinical Takeaways from the Video
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Comprehensive Multi-System Assessment
Pre-transplant evaluation thoroughly interrogates every organ system—pulmonary physiology, cardiac reserve, renal/hepatic function, infectious disease status, and psychological resilience.
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Detailed Pulmonary Physiology & Imaging
Complete plethysmography with DLCO, 6-minute walk tests, high-resolution CT (HRCT) of chest, and quantitative ventilation-perfusion (V/Q) lung scanning.
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Cardiac Hemodynamic Catheterization (RHC)
Right heart catheterization precisely measures pulmonary artery pressures, transpulmonary gradients, and pulmonary vascular resistance to differentiate pre-capillary vs post-capillary pulmonary hypertension.
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Infectious & Immunologic Profiling
Comprehensive screening for latent tuberculosis, CMV, EBV, fungal antibodies, hepatitis, HIV, and detailed donor-specific HLA antibody crossmatch profiling.
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Nutritional & Gastroesophageal Clearance
Body Mass Index assessment (ideal BMI range: 18-30), bone mineral density scan (DEXA), and 24-hour pH impedance to detect occult gastroesophageal microaspiration.
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Multidisciplinary Transplant Board & Registry Listing
Final listing decision made collaboratively by pulmonologists, transplant surgeons, anesthesiologists, and coordinators, followed by state (Jeevasarthakathe) and national (NOTTO) registry listing.