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Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...

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Related Experiment Video

Updated: Jun 5, 2026

Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
09:54

Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death

Published on: August 15, 2022

Non-heart-beating donation in Spain.

David Gomez-de-Antonio1, Andres Varela

  • 1Thoracic Surgery Department, Hospital Universitario Puerta de Hierro Majadahonda, 1 Manuel de Falla Street, 28 222 Majadahonda Madrid, Spain. dgavm@yahoo.es

General Thoracic and Cardiovascular Surgery
|January 13, 2011
PubMed
Summary

Non-heart-beating-donor (NHBD) lung transplantation is a reality in Spain, increasing transplant rates by 13%. This protocol utilizes organs from donors after cardiac arrest, offering a vital new source for patients awaiting lung transplants.

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Area of Science:

  • Transplantation Medicine
  • Organ Donation
  • Cardiology

Background:

  • Donation after cardiac arrest (DCA) accounts for 6.7% of Spanish transplants.
  • Uncontrolled non-heart-beating donors (NHBD) are primarily utilized in Madrid.
  • Lung transplantation protocols for NHBD are crucial for expanding organ availability.

Purpose of the Study:

  • To detail the protocol for non-heart-beating-donor (NHBD) lung transplantation.
  • To analyze the current status of NHBD and lung transplantation in Spain.
  • To highlight the pioneering efforts in Madrid for NHBD lung procurement.

Main Methods:

  • Development of a flexible legal framework for organ procurement from uncontrolled NHBD.
  • Establishment of collaborative harvesting programs, initially for abdominal organs.
  • Implementation of a successful NHBD lung program involving two Madrid hospitals.

Main Results:

  • NHBD lung transplantation in Spain is concentrated in Madrid, with ~60 potential donors annually.
  • 32 lung transplantations have been performed using NHBD organs.
  • This has led to a 13% increase in annual lung transplantation rates.

Conclusions:

  • Non-heart-beating-donor (NHBD) organs are a proven source for lung transplantation.
  • Widespread adoption of NHBD protocols can significantly improve graft utilization.
  • Increased NHBD utilization is expected to reduce lung transplant waiting list mortality.