Lung Transplant Program

Hachem-Coleman-exam-room

Organ transplant patient Michele Coleman receives a follow-up exam by Ramsey Hachem, MD, medical director of lung transplantation, a few months after receiving a set of new lungs conditioned in a special device under testing. Read more about the device in Outlook Magazine »

The Lung Transplant Program at Washington University School of Medicine and Barnes-Jewish Hospital was founded in 1988. Since its inception, over 1,500 patients have undergone lung or heart-lung transplantation at Barnes-Jewish Hospital.

In recent years, approximately 60-70 patients have undergone transplantation annually. The most common diagnosis leading to lung transplantation at Barnes-Jewish Hospital today is Interstitial Lung Disease or Pulmonary Fibrosis, which accounts for approximately 50% of all transplants. An additional 30% of patients are transplanted for Chronic Obstructive Pulmonary Disease (COPD), and 15% are transplanted for Cystic Fibrosis (CF). The remaining 15% of transplant recipients consists of patients with all forms of advanced-lung diseases.

Ramsey Hachem, MD, is the medical director and Daniel Kreisel, MD, PhD, is the surgical director of the Lung Transplant Program. The program consists of a multidisciplinary team of pulmonary physicians, thoracic surgeons, nurse coordinators, transplant pharmacists, respiratory therapists, dieticians, social workers, and financial coordinators.

The program is dedicated to the care of patients with advanced lung disease through transplantation and the longitudinal management of lung transplant recipients. The program is also committed to education and training, and engages Pulmonary and Critical Care fellows rotating on the inpatient lung transplant service and in dedicated lung transplant clinics as part of their clinical training. During the academic year, the program has a weekly lung transplant conference focused on education and training. In addition, this conference serves as a platform for developing and presenting research projects.

Members of the transplant team are engaged in numerous basic science and clinical research projects focused on improving outcomes after lung transplantation by investigating approaches to prevent and manage acute and chronic rejection, the role of respiratory infections in the development of chronic rejection, and the impact of humoral immunity on long term outcomes.

Medical director of lung transplantation Dr. Ramsey Hachem, associate professor of medicine, (center) is joined by the team who performed Barnes-Jewish Hospital patient Michele Coleman's lung transplant in the spring of 2016. Coleman's lungs were reconditioned by a device undergoing testing to expand the donor pool. From left: Laura Ebel, RN, MSN, CCTC, post-transplant coordinator; Jennifer Bell, RN, BSN, CCRC, manager of clinical trials; Masina Scavuzzo, RN, BSN, CCTC, pre-transplant coordinator; Hachem; Coleman; Daniel Kreisel, MD, PhD, professor of surgery and of pathology and immunology; and Varun Puri, MD, associate professor of surgery.

Ramsey Hachem, MD, (center) is joined by the team who performed patient Michele Coleman’s lung transplant in the spring of 2016 at Barnes-Jewish Hospital. Coleman’s lungs were reconditioned by a device undergoing testing to expand the donor pool. (From left) Laura Ebel, RN, MSN, CCTC, post-transplant coordinator; Jennifer Bell, RN, BSN, CCRC, manager of clinical trials; Masina Scavuzzo, RN, BSN, CCTC, pre-transplant coordinator; Hachem; Coleman; Daniel Kreisel, MD, PhD, professor of surgery and of pathology and immunology; and Varun Puri, MD, associate professor of surgery.