Suggested Pre-Referral Evaluation and Management Guidelines
All patients debilitated due to their underlying end-stage pulmonary disorder while on maximal medical management. Tobacco, nicotine and illicit substance abstinence for at least 6 months. Ambulatory, BMI < 32, no other significant medical disease. Absence of malignancy for at least 5 years (excluding basal cell carcinoma of the skin). No previous coronary artery bypass surgery or significant coronary artery disease.
Suggested Additional Test/Management Prior to Specialty Visit
Full pulmonary function testing, 6 minute walk test. High resolution CT and IV contrast CT of the chest.