Do you employ the use of extracorporeal photopheresis in the management of patients with progressive BOS following lung transplantation?  

Yes, extracorpeal photopheresis (ECP) is employed for BOS in certain situations. There may be insurance barriers (Medicare) that will be prohibitive. Any changes to the immunosuppression strategies should be done in the earlier stages to have beneficial effects. Hence to start ECP in stage 3 BOS if ...