{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T08:36:31Z","timestamp":1783154191118,"version":"3.54.6"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T00:00:00Z","timestamp":1689552000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Extracorporeal Membrane Oxygenation (ECMO) may be used as a bridge to lung transplantation in selected patients with end\u2010stage respiratory failure. Historically, ECMO use in this setting has been associated with poor outcomes Puri V et.al, <jats:italic>J Thorac Cardiovasc Surg<\/jats:italic>, <jats:bold>140<\/jats:bold>:427. More recently, technical advances and the implementation of rehabilitation and ambulation while awaiting transplantation on ECMO have led to improved surgical and post\u2010transplant outcomes Kirkby S et.al, <jats:italic>J Thorac Dis<\/jats:italic>, <jats:bold>6<\/jats:bold>:1024.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We illustrate the case of a 6\u2010year\u2010old child who received prolonged ECMO support as a bridge to lung re\u2010transplantation secondary to Chronic Lung Allograft Dysfunction (CLAD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Early rehabilitation was key in improving the overall pre\u2010transplant conditioning during ECMO.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite challenges associated with awake\/ambulatory ECMO, the use of this strategy as a bridge to lung transplantation is feasible and has resulted in improved pre\u2010transplant conditioning and post\u2010transplant outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14579","type":"journal-article","created":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T11:34:17Z","timestamp":1689593657000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Lung Re\u2010transplantation after prolonged <scp>veno\u2010venous<\/scp> extracorporeal membrane oxygenation (<scp>ECMO<\/scp>) in a child with chronic lung allograft dysfunction"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2246-4223","authenticated-orcid":false,"given":"Andres","family":"Herrera\u2010Camino","sequence":"first","affiliation":[{"name":"Division of Pediatric Critical Care Medicine Washington University in St. Louis  St Louis Missouri USA"},{"name":"Division of Pediatric Pulmonary Medicine Washington University in St. Louis  St Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart C.","family":"Sweet","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonary Medicine Washington University in St. Louis  St Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Pendino","sequence":"additional","affiliation":[{"name":"Therapy Services St. Louis Children's Hospital  St Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Brill\u00a0Chod","sequence":"additional","affiliation":[{"name":"Therapy Services St. Louis Children's Hospital  St Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7161-8391","authenticated-orcid":false,"given":"Pirooz","family":"Eghtesady","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Washington University in St. Louis  St Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6211-2636","authenticated-orcid":false,"given":"Avihu Z.","family":"Gazit","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care Medicine Washington University in St. Louis  St Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Lin","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care Medicine Washington University in St. Louis  St Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.04.012"},{"key":"e_1_2_10_3_1","first-page":"1024","article-title":"Pediatric lung transplantation: indications and outcomes","volume":"6","author":"Kirkby S","year":"2014","journal-title":"J Thorac 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