Feasibility and accuracy of DireCt Lung Ultrasound Evaluation technique to monitor extravascular lung water in porcine lungs
2024

Using Ultrasound to Measure Lung Water in Donor Lungs

Sample size: 18 publication Evidence: moderate

Author Information

Author(s): Sana N. Buttar, Hasse Møller-Sørensen, Michael Perch, Rene H. Petersen, Christian H. Møller

Primary Institution: Copenhagen University Hospital, Rigshospitalet, Denmark

Hypothesis

The study aims to reassess the feasibility and accuracy of the DireCt Lung Ultrasound Evaluation (CLUE) technique for monitoring extravascular lung water in porcine lungs.

Conclusion

The CLUE technique is feasible for assessing extravascular lung water in donor lungs and correlates significantly with lung weight, wet-to-dry ratio, dynamic compliance, and pulmonary vascular resistance.

Supporting Evidence

  • CLUE score increased significantly after ex vivo lung perfusion.
  • CLUE score showed a strong positive correlation with lung weight and wet-to-dry ratio.
  • Dynamic compliance decreased significantly after ex vivo lung perfusion.

Takeaway

Researchers used a special ultrasound technique to check how much water is in pig lungs, which helps doctors know if the lungs are good for transplanting.

Methodology

The study involved measuring CLUE scores, lung weight, dynamic compliance, and pulmonary vascular resistance before and after ex vivo lung perfusion in porcine lungs.

Potential Biases

Potential bias due to the subjective nature of evaluating lung water and the lack of blood sample analysis from isolated pulmonary veins.

Limitations

The study had limitations including a small sample size, lack of power calculation, and the use of a porcine model which may limit the generalizability of the results.

Participant Demographics

Healthy domestic female pigs were used in the study.

Statistical Information

P-Value

<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1093/ejcts/ezae428

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