Selection criteria | Before protocol amendment | After protocol amendment |
---|---|---|
FEV 1 | >2 L, or >35% of predicted postoperative (ppoFEV1); if < 2 L, the ppoFEV1 must be at least 35% based on the following formula using the quantitative V/Q scan: Predicted post-resection FEV1 = FEV1 x % perfusion to uninvolved lung from quantitative lung V/Q scan report. | > 0.8 |
DLCO | > 35% of ppoFEV1 | |
ABG | pCO2 < 50 | predicted postoperative pCO2 < 50 |
Adequate cardiac function | The patient's cardiac function and presence or absence of coronary artery disease or valvular heart disease should be assessed by one of the following tests: | The patient's cardiac function and presence or absence of coronary artery disease or valvular heart disease should be assessed by the following tests: |
· Radionuclide stress test: preferred | · Echocardiogram (mandatory): Ventricular Ejection Fraction 3 45% | |
· Exercise stress test to maximal exercise level | · Electrocardiogram (mandatory) | |
· Stress echocardiogram | · Radionuclide stress test (optional) | |
· Exercise stress test to maximal exercise level (optional) |