1. Proposal to Collect Extracorporeal Membrane Oxygenation (ECMO) Data When Removing Lung Candidates from Waitlist Thoracic Organ Transplantation Committee Fall 2014

2.  Insufficient data to analyze effect of ECMO on candidates listed for lung transplant  ECMO use currently only reported  at time of registration  at time of transplant The Problem

3.  Collect ECMO data from a contemporary cohort of lung transplant candidates  Analyze ECMO data  Determine if ECMO should be a variable in the LAS calculation Goal of the Proposal

4.  Modify candidate removal page in Waitlist SM to include fields for ECMO/mechanical ventilatory support data  Dates of cannulation/intubation and decannulation/extubation  Site of cannulation  Ambulation status  Type of ECMO (VA or VV) How the Proposal will Achieve its Goal

5.  Growing use of ECMO as bridge to transplant  Correlation between high LAS at transplant and ECMO use  Conflicting retrospective studies regarding relationship between ECMO use and post- transplant outcomes Supporting Evidence

6. Transplant Programs must:  Report whether a candidate was supported by invasive mechanical ventilation or ECMO  If yes, report information for additional data fields for each lung candidate you remove from Waitlist SM What Members will Need to Do

7.  Joe Rogers, MD Committee Chair joseph.rogers@duke.edu  Regional representative name (RA will complete) Region X Representative email address  Liz Robbins Callahan Committee Liaison liz.robbins@unos.org Questions?