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Updated: Jun 27, 2026
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Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
Published on: August 15, 2022
Profitability of our lung retrieval program from non heart beating donors
Elena Fernández1, Joaquín Calatayud, José Ramón Jarabo
1Hospital Clinico San Carlos, Madrid, Spain.
Summary
This study analyzed lung transplants from non-heart-beating (NHB) donors in Madrid, finding that 58.1% of preserved lungs were successfully implanted, though more could have been used if recipients were available.
Area of Science:
- Cardiovascular and Respiratory System Science
- Transplantation Medicine
- Organ Donation and Procurement
Background:
- The first lung transplant from non-heart-beating (NHB) donors occurred in Madrid in 2002.
- Maastricht type I NHB donors represent a significant source for lung transplantation.
Purpose of the Study:
- To analyze the Maastricht type I NHB lung donor retrieval program in Madrid.
- To assess the efficiency and profitability of the NHB lung donor retrieval program.
Main Methods:
- Analysis of lung donors from June 2002 to December 2006 at Hospital Clínico San Carlos and Hospital Puerta de Hierro.
- Implementation of advanced life support, code 0/9 activation, and extracorporeal circulation for lung preservation.
- Lungs retrieved after obtaining relative and judicial authorization.
Main Results:
- 322 occurrences of code 0/9 led to 43 lung retrievals and 25 implants.
- Donors were predominantly male (95%), with an average age of 41, and blood groups A or O (91%).
- A significant number of viable lungs were not retrieved due to a lack of suitable recipients.
Conclusions:
- 58.1% of preserved lungs were implanted.
- The lung yield was 11.4% of actual donors and 7.7% of total occurrences.
- The program's potential could be enhanced by addressing recipient availability for untransplanted lungs.
