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Related Concept Videos

Kidney Transplant I: Introduction01:28

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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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Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
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Donor heart and lung procurement: A consensus statement.

Hannah Copeland1, J W Awori Hayanga2, Arne Neyrinck3

  • 1Division of Cardiac Surgery University of Mississippi Medical Center Jackson, MS.

The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation
|June 7, 2020
PubMed
Summary
This summary is machine-generated.

Standardizing heart and lung procurement is crucial for reducing early graft failure in thoracic organ transplantation. This consensus statement guides optimal donor management for heart and lung donation after brain death and circulatory death.

Keywords:
donation after circulatory deathheartlungprocurementthoracic donor

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Area of Science:

  • Cardiovascular Surgery
  • Transplantation Medicine
  • Organ Procurement Logistics

Background:

  • Thoracic organ procurement involves complex logistics with variable approaches among teams.
  • Early graft failure is a significant cause of mortality in heart and lung transplant recipients.
  • Standardization in procurement processes is needed to optimize donor organ quality.

Purpose of the Study:

  • To establish an international consensus statement on donor heart and lung procurement.
  • To provide a guide for optimizing the clinical status of donors for transplantation.
  • To address procurement for donation after brain death (DBD) and donation after circulatory death (DCD).

Main Methods:

  • Development of an international consensus statement.
  • Review of current practices in donor evaluation, management, procurement, and preservation.
  • Inclusion of surgical techniques for donation after circulatory death (DCD) heart procurement.

Main Results:

  • The consensus statement provides a unified guide for heart and lung procurement.
  • It addresses both donation after brain death (DBD) and donation after circulatory death (DCD) scenarios.
  • Focus is placed on adult DBD and DCD heart and lung procurement.

Conclusions:

  • Standardized procurement protocols can improve outcomes in thoracic organ transplantation.
  • The consensus statement serves as a vital resource for procurement teams.
  • Further development in training and credentialing for cardiothoracic procurement surgeons is recommended but beyond the scope of this paper.