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Related Experiment Video

Updated: May 7, 2026

Evaluating Regional Pulmonary Deposition using Patient-Specific 3D Printed Lung Models
07:56

Evaluating Regional Pulmonary Deposition using Patient-Specific 3D Printed Lung Models

Published on: November 11, 2020

Physician assistant model for lung procurements: a paradigm worth considering.

Joseph Costa1, Frank D'Ovidio, Matthew Bacchetta

  • 1Section of Thoracic Surgery, Columbia University Medical Center, New York, New York.

The Annals of Thoracic Surgery
|October 5, 2013
PubMed
Summary

Physician assistants (PAs) performing donor lung procurements resulted in fewer injuries and better graft function compared to surgical fellows. This demonstrates PAs are a safe and effective alternative for lung procurement, addressing surgeon shortages.

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Area of Science:

  • Transplant Surgery
  • Thoracic Surgery
  • Surgical Workforce

Background:

  • Traditionally, cardiothoracic surgeons or fellows perform donor lung procurements.
  • Standardized protocols exist, but expertise optimizes donor lung utilization.
  • Future cardiothoracic surgeon deficits necessitate alternative procurement models.

Purpose of the Study:

  • To evaluate the safety and efficacy of physician assistants (PAs) as lead surgeons in donor lung procurement.
  • To compare PA-led procurements with those performed by surgical fellows.
  • To assess the impact on graft utilization and outcomes.

Main Methods:

  • Single-institution review of 287 consecutive lung procurements over 5 years (2008-2012).
  • Procurements were performed by either a PA or a surgical fellow.
Keywords:
12

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  • Data collected included injury rates and pulmonary graft dysfunction grades.

    • Main Results:

    • PAs led 68.6% of procurements (197 cases) versus fellows (31.4%, 90 cases).
    • Injury rate was significantly lower for PA-led procurements (0.5% vs. 24%).
    • Graft dysfunction rates (grades 2 and 3) were significantly lower in PA-led cases (9.6% vs. 32.2%).

    Conclusions:

    • Experienced PAs are a safe and viable alternative for donor lung procurement.
    • This model ensures continuity of technical expertise and effective allograft evaluation.
    • Utilizing PAs addresses potential future cardiothoracic surgeon workforce shortages.