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All potential candidates undergo a comprehensive multi-disciplinary evaluation that includes:
Pulmonary Function Testing
- Spirometry
- Lung volumes
- DLCO
- Blood gases
- Maximal inspiratory and expiratory pressures
- Infant pulmonary function testing is performed for most children under 5
Cardiac Evaluation
- EKG
- 2D echocardiogram
- cardiac catheterization (as needed to evaluate pulmonary vascular disease)
Imaging
- Chest x-rays
- High resolution chest CT
- V/Q scan (in selected cases)
Laboratory Evaluation
- Measures of renal and liver function
- Sputum culture
- Viral serologies (EBV, CMV, Varicella, herpes, Hepatitis, HIV)
Other Studies
- Nutritional evaluation
- Physical therapy evaluation (including 6 minute walk test)