Journal Review in Thoracic Surgery: VV ECMO in Pre-Lung Transplant Patients - A Bridge to Somewhere

Join the Johns Hopkins Thoracic Surgery Subspecialty team on this rapid research review revealing how investigative efforts have changed the way we view and use Veno-venous (VV) ECMO therapy in the pre-lung transplant patient population working to avoid ventilator dependence and the associated morbidity while facilitating continued ambulation and preoperative optimization. Hosts: - Dr. Alfred J. Casillan, MD, PhD Attending Thoracic Surgeon Johns Hopkins Hospital - Kyla Rakoczy, MD Johns Hopkins General Surgery Resident References: Awake ECMO as Bridge to Lung Transplantation Fuehner T, Kuehn C, Hadem J, Wiesner O, Gottlieb J, Tudorache I, et al. Extracorporeal membrane oxygenation in awake patients as bridge to lung transplantation. American Journal of Respiratory and Critical Care Medicine. 2012;185(7):763–768. PMID: 22268135 Link: Predictors of Successful ECMO Bridging Tipograf Y, Salna M, Minko E, Grogan EL, Sonett JR, Bacchetta MD. Outcomes of extracorporeal membrane oxygenation as a bridge to lung transplantation. Annals of Thoracic Surgery. 2019;107(5):1456–1463. PMID: 30790550 Link: Intubation Status and ECMO Bridging Outcomes Zhou AL, Jennings MR, Akbar AF, et al. Utilization and outcomes of nonintubated extracorporeal membrane oxygenation as a bridge to lung transplant. Journal of Heart and Lung Transplantation. 2025;44(4):661–669. PMID: 39486773 Link: ECMO Duration and Waitlist Mortality Shou BL, Kalra A, Zhou AL, et al. Impact of extracorporeal membrane oxygenation bridging duration on lung transplant outcomes. Annals of Thoracic Surgery. 2024;118(2):496–503. PMID: 38740080 Link: Mechanical Ventilation as a Risk Marker Mason DP, Thuita L, Alster JM, Murthy SC, Budev MM, Mehta AC, et al. Lung transplantation in recipients requiring mechanical ventilation: outcomes and risk factors. Journal of Thoracic and Cardiovascular Surgery. 2010;139(1):114–119. PMID: 19931096 Link: ***Fellowship Application Link: Please visit to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: Behind the Knife Premium: General Surgery Oral Board Review Course: Oral Board Simulator: Trauma Surgery Video Atlas: Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: Vascular Surgery Oral Board Review Course: Colorectal Surgery Oral Board Review Course: Surgical Oncology Oral Board Review Course: Cardiothoracic Oral Board Review Course: Download our App: Apple App Store: Android/Google Play:

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Journal Review in Thoracic Surgery: VV ECMO in Pre-Lung Transplant Patients - A Bridge to Somewhere is an episode from Behind The Knife: The Surgery Podcast.

This episode is 16:40 long.

This episode was published on Apr 6, 2026.

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