Ohio State performed its first lung transplant in 1998 and its first double lung transplant in 1999. Our pulmonary care is ranked among the nation's best by U.S.News & World Report.

Why choose Ohio State?

Experience:
Our Comprehensive Transplant Center has one of the largest organ transplant programs in the nation. We perform nearly 250 kidney, liver, pancreas, combined kidney/pancreas, heart, lung and bone marrow transplants each year. Since our program started in 1967, we have performed more than 7,700 lifesaving transplants.

Leading-Edge Treatments:
We are one of only 17 centers nationwide chosen to participate in the prestigious National Emphysema Treatment Trial to provide lung volume-reduction surgery. We are also one of the few Ohio locations providing adult extracorporeal membrane oxygenation (ECMO) to patients with end-stage pulmonary disease or post-transplant graft dysfunction.

Research:
Ohio State’s research collaboration with Nationwide Children’s Hospital allows patients with cystic fibrosis to transition to adult treatment and transplantation.

Candidates

Candidates

Candidates

Lung transplantation may be a treatment option for several medical conditions:
  • Alpha-1 Antitrypsin Deficiency (AAT deficiency): an inherited condition that raises your risk for lung and liver disease. Alpha-1 antitrypsin (AAT) is a protein that protects the lungs. The liver makes it. If the AAT proteins aren't the right shape, they get stuck in the liver cells and can't reach the lungs.

    Symptoms of AAT deficiency include:
    • Shortness of breath and wheezing
    • Repeated lung infections
    • Tiredness
    • Rapid heartbeat upon standing
    • Vision problems
    • Weight loss

Some people have no symptoms and do not develop complications. Blood tests and genetic tests can tell if you have it. If your lungs are affected, you may also have lung tests. Treatments include medicines, pulmonary rehab, and extra oxygen, if needed. Severe cases may need a lung transplant. Not smoking can prevent or delay lung symptoms.

  • Bronchiectasis: The bronchi are two tubes that branch off the trachea, or windpipe. The bronchi carry air to your lungs. Common problems of bronchi include:
    • Bronchiectasis, a condition in which damage to the airways causes them to widen and become flabby and scarred
    • Exercise-induced bronchospasm, which happens when the airways shrink while you are exercising
    • Bronchiolitis, an inflammation of the small airways that branch off from the bronchi
    • Bronchopulmonary dysplasia, a condition affecting infants
  • Occupational Lung Diseases: are caused or made worse by your work environment. They occur from inhaling dusts, chemicals or bacteria and molds at work.

    The major groups of occupational lung diseases are:
    • Work-related asthma
    • Lung disease from dusts and metals
    • Allergic problems
    • Reactions from irritants
    • Lung or other cancers
    • Infections
  • Lymphangioleiomyomatosis (LAM): is a rare lung disease that mostly affects women of childbearing age. In LAM, abnormal, muscle-like cells begin to grow out of control in certain organs or tissues, especially the lungs, lymph nodes, and kidneys. Over time, these LAM cells can destroy the normal lung tissue. As a result, air can’t move freely in and out of the lungs. In some cases, this means the lungs can’t supply the body’s other organs with enough oxygen.

Patient Process

Patient Process

Patient Process

A goal of our Comprehensive Transplant Center is to ensure our transplant patients experience seamless service through the entire transplant process, including pre-transplant evaluation, communication throughout the waiting process, acute medical care during and following surgery, intensive outpatient treatment, post-transplant outpatient visits and ongoing telephone follow-up.

If you are deemed a candidate for lung transplant, you will be asked to sign a written contract that states you understand and agree to commit to the process. If you have a tobacco, alcohol or drug history, you will be asked to sign an abstinence agreement as well. Sample contracts are available from your lung transplant coordinator. Please talk with your coordinator should you have any questions regarding these contracts and agreements.


Referral Phase

Your own physician will make a referral for you to be evaluated for whether a transplant may be appropriate at Ohio State’s Wexner Medical Center. Here are some of the steps in the pre-transplant referral process:
  1. The referring physician or other provider is responsible for providing the coordinator with all applicable medical information according to the transplant referral protocol provided at time of referral. This information is shared with physicians on the transplant team to see if testing for potential transplant listing should be scheduled.
  2. We will verify your coverage for initial testing with your insurance company before making your initial evaluation appointment. Our pre-transplant office and hospital business office will work with you to determine insurance availability and precertification requirements. 
  3. Pre-transplant coordinators and business office staff then work together to meet insurance company requirements for evaluation and transplant procedure approval. 
Changing harmful habits should be a priority, as our program does not consider patients who are current smokers or alcohol- or drug-dependent. Potential recipients must be substance-free for at least six months before being listed for transplant. We will perform random testing; a positive test could result in your removal from our list.

Clinic Evaluation Phase

During your first appointment, you will meet your transplant team and be scheduled for evaluation testing at Ohio State’s Wexner Medical Center. A full outpatient clinic evaluation will determine whether listing for transplant would be an appropriate option for you.

The evaluation includes extensive pulmonary and cardiovascular testing, multiple tests that evaluate general health, lab work, education, surgeon and pulmonologist evaluations and a social work consultation. Transplant candidates must be in good overall health, since the surgery is difficult and medications taken after transplant are very hard on several body systems including bones, kidneys and liver.

You will also have consultations with our social worker, transplant infectious disease specialists, pain and palliative care specialist and other professionals who may be appropriate to your condition.

Every patient being evaluated for lung transplant will also have a psychosocial assessment with a social worker. This evaluation will help determine if you have the psychological stability, motivation and personal support to meet the challenges of transplantation.

Patients will take part in a comprehensive education program that details the surgical procedure, medications, recovery and rehabilitation associated with the transplant process.

It is preferred that these tests be completed at Ohio State’s Wexner Medical Center, but depending on your geographic location or payer preference, they may be completed closer to your home. Ask your coordinator if this is an option for you.

Transplant physicians send follow-up letters to the referring physician summarizing the pre-transplant clinic visit and any additional information required. Once the evaluation is complete, we submit the clinical data received for insurance authorization.

The transplant team evaluates the information gathered and determines whether transplantation is appropriate. We will also determine what additional information is needed prior to placing you on the transplant list. Once the evaluation is complete, your coordinator will present your case to the OSU Wexner Medical Center Patient Selection Committee for approval.

Candidacy Phase

If approved for transplant listing, the final step involves approval by the Ohio Solid Organ Transplantation Consortium (OSOTC). When approved by the OSOTC, you are then listed for lung transplantation on the United Network for Organ Sharing national waiting list. Patients are not actively listed for transplant until insurance approval is received.

Active Wait List Phase

Your wait time can depend on factors such as your blood type, body size and the severity of your illness. The wait time could be from days to years.

You will continue to follow up routinely with Ohio State’s transplant physicians so we may update your Lung Allocation Score (LAS) every several months. Potential recipients must be substance-free for at least six months before being listed for transplant. You must submit to random drug, nicotine and alcohol testing. A positive test result could result in removal from our list. 

If you are deemed a candidate for lung transplant, you will be asked to sign a written contract that states you understand and agree to commit to the process. If you have a tobacco, alcohol or drug history, you will be asked to sign an abstinence agreement as well. Sample contracts are available from your lung transplant coordinator. Please talk with your coordinator should you have any questions regarding these contracts and agreements.

You should continue with pulmonary rehabilitation activities. Changing harmful habits should be a priority, as our program does not consider patients who are current smokers or alcohol- or drug-dependent.

You will meet with our social worker and transplant coordinator, as will your family and any support persons identified for an orientation.

You must be reachable by phone at all times. Your transplant surgeon receives offers of organs from organ procurement organizations. If an organ is a good match for you, you will immediately be contacted. The lungs need to be transplanted within six hours after donor recovery. However, this time varies and you will be updated as much as possible by either your coordinator, nurse or physician.

Transplant Phase

You should always be within a three-hour drive of Columbus, due to tight time constraints of a transplant.

You should not eat or drink anything from the moment you are notified that an organ has been matched to you. You will be instructed to immediately come to The Ohio State University Wexner Medical Center for admission.

You will undergo lab tests, receive an X-ray and begin immunosuppression medications. You will then go to surgery. You will be in the operating room for approximately six hours, depending on individual circumstances including whether you are receiving a single or double transplant.

Post-Transplant Phase

Upon completion of the surgery, you will be closely monitored in an Intensive Care Unit for complications. You will be on a ventilator with multiple IVs and monitoring devices. Usually, you will be weaned from the ventilator and out of bed within a day or two of your operation.

The average length of stay for a lung transplant patient is seven to 14 days.

You will be seen daily by the transplant surgeons. You’ll receive individualized education from floor nurses and attend education classes on medication and general discharge instructions. A midlevel provider or advance practice nurse will coordinate your care process, communicate with insurance case managers and plan for discharge. A social worker will visit you to address any psychosocial issues associated with the transplant.

Once you are discharged, you are followed on an outpatient basis with vital signs and laboratory profiles two times a week for the first three months post-transplant. Lab profiles are evaluated by a transplant coordinator and a transplant surgeon.

You will be seen again in the outpatient clinic at one-month post-transplant, three months post-transplant, six months post-transplant, one year post transplant and at any other time in between if warranted. You will be seen annually thereafter, unless more frequent visits are required. After you are released by our surgeon, you will be seen by the Transplant Medicine Service. Lab frequency is reduced as you progress.

We will communicate with your referring physician at the beginning and end of each hospitalization, as well as each outpatient clinic visit.

Taking care of your new lungs can determine your success after transplant. Maintaining a healthy lifestyle and changing harmful habits should be priorities. We expect our patients to participate in pulmonary rehabilitation. Lung transplant recipients who return to smoking will not be considered for re-transplant.

Treatment Team

Treatment Team

Treatment Team

Our Comprehensive Transplant Center treatment team includes:


Pulmonologist

This doctor who specializes in transplants will follow you before and after your transplant. He or she will complete a physician exam and discuss with you what additional tests are needed for you to receive a transplant.

Transplant Coordinator

This nurse will be your primary contact before and after your transplant. She will help answer any questions you may have from the time you walk in to the medical center through your recovery and continued care.
  • Staci Carter, RN, BSN

Palliative Care Specialist

This doctor, trained in pain and symptom management, is skilled in guiding patients and families through management of expectations and planning for the future during times of uncertainty and great stress. This specialist will meet with you and your family before and after transplant.

Advanced Practice Nurse

The advanced practice nurse works closely with your physician to ensure continuity of care throughout your stay at the hospital and your transition to outpatient care. She orders and monitors diagnostic tests and treatments, responds to urgent needs, diagnoses and treats problems if they arise and provides the educational tools and resources necessary to continue success with your transplant once you are discharged.
  • Jody Knisley, CNP, MS, RN

Pharmacy Patient Assistance Coordinator

She offers assessment, linkage and referrals for assistance to patients who need certain medications and have high co-pays or no prescription drug coverage.
  • Stacy Morton, 800-626-2538

More +

Financial Counselor

This individual will review your insurance benefits prior to the evaluation and transplant processes and assist you and your family with insurance questions or concerns.

Clinic PCA / Office Assistant

This staff member takes patients to their rooms, gathers vital signs and performs other patient care duties in addition to scheduling and other clerical responsibilities.
  • Tina DeVoe-Fountain

Social Worker

This healthcare professional meets with you to evaluate your readiness for transplantation.
  • Shawn Spence, MSW, LISW

Frequently Asked Questions

Which health insurance are accepted?

The list of accepted insurances for kidney transplant can often change. Please contact your healthcare insurance provider to confirm your coverage for transplant at Ohio State’s Comprehensive Transplant Center.

What is tissue typing?

Ohio State’s Tissue Typing Laboratory ensures that an organ is compatible with its recipient. The process involves matching a person’s unique configuration of six human leukocyte antigen (HLA) molecules with a potential pool of approximately 100 different varieties.

Cross-match testing helps prevent some types of organ rejection. The testing involves mixing cells from the donor’s and recipient’s serum to determine whether rejection-promoting antibodies will occur. This information helps your physicians plan for the right medication strategy to best control organ rejection.

Transplant support testing includes monitoring new drugs that patients use, testing to determine a patient’s overall ability to maintain a recipient’s organ and developing new tests to support many of the clinical aspects of transplantation.

Are there any support groups to join?

The Lung Transplant Support Group at Ohio State’s Wexner Medical Center provides education and moral support during all phases of the transplant process. The group hosts speakers to discuss various transplant issues, and is guided by the social worker. 

The group is open to those who are being evaluated for lung transplant and for those who have received a transplant. Family members and support persons are encouraged to attend with the patients. Meetings are held the last Tuesday of every month, January through October, starting at 6pm. The location is 760 Kinnear Road, Columbus, Ohio 43212.

For more information, contact the Lung Transplant Office at 614-293-5822 or 866-204-3411.
Our Doctors

Patient Success Stories

Becky is Breathing Easier After Her Lung Transplant at Ohio State

At 55, Becky was active and in good health until COPD and emphysema literally took her breath away.

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