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.

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