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Author Spotlight: Innovative Technique for Coronary Angiography in Marginal Donors
Published on: July 12, 2024
Organ Care System Heart™ in donors requiring high-risk excision of suspected neoplastic lesions
Guido Maria Olivieri1, Massimiliano Carrozzini1, Marco Lanfranconi1
1Cardio Center De Gasperis, Cardiothoracovascular Department, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Insights
Organ Care Systems offer a solution to the donor shortage in heart transplantation by preventing cold ischemia damage. This technology can serve as a crucial time buffer, enabling complex donor organ retrieval and assessment.
Area of Science:
- Cardiology
- Transplant Surgery
- Organ Preservation
Background:
- Heart transplantation is the optimal treatment for end-stage heart failure.
- A significant limitation is the scarcity of suitable donor organs.
- Donor organ preservation is critical to minimize ischemia-reperfusion injury.
Purpose of the Study:
- To evaluate the utility of Organ Care Systems in managing donor organs requiring complex excisions.
- To assess the potential of Organ Care Systems as a time buffer in challenging donor scenarios.
- To demonstrate the feasibility of using Organ Care Systems for high-risk donor organ retrieval.
Main Methods:
- Three cases involving suspected lesions in potential heart donors were analyzed.
- Organs were retrieved and placed into Organ Care Systems prior to excision of lesions.
- Organ preservation and assessment were performed using the device.
Main Results:
- Organ Care Systems successfully preserved donor hearts during complex excision procedures.
- The device provided a necessary time buffer, allowing for thorough assessment and management of suspected lesions.
- This approach facilitated the utilization of organs that might otherwise have been discarded.
Conclusions:
- Organ Care Systems can be effectively utilized as a time buffer in specific heart donor scenarios.
- This technology enhances the potential to expand the donor pool by managing complex organ retrievals.
- The use of Organ Care Systems in these peculiar situations is feasible and beneficial for heart transplantation.
Abstract:
Although Heart Transplant is still the gold standard treatment for end-stage heart failure patients, the limitation of this procedure is the discrepancy between the amount of waiting list patients and donors. Organ Care Systems, preventing the detrimental effects of cold ischemia, potentially increase donor pool. Herein we report three cases where high-risk excisions were required to clarify the nature of suspected lesions in donors. We decided to retrieve the organs and to place them in the devices before performing the excision. Our experience confirm the possibility to utilise this device as a time buffer in these peculiar scenarios.
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