Non-heart-beating donors

The widespread application of lung transplantation is limited by the shortage of suitable donor organs resulting in longer waiting times for listed patients with a substantial risk of dying before transplantation. To overcome this critical organ shortage, some transplant programs have now begun to e...

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Bibliographic Details
Published in:Seminars in thoracic and cardiovascular surgery 2004, Vol.16 (4), p.309-321
Main Authors: Van Raemdonck, Dirk E.M., Rega, Filip R., Neyrinck, Arne P., Jannis, Nicole, Verleden, Geert M., Lerut, Toni E.
Format: Article
Language:English
Subjects:
asystolic donor
circulation-arrested donor
controlled donor
ex vivo lung reperfusion
Humans
Lung Transplantation
Organ Preservation - methods
Reperfusion - methods
Reperfusion Injury - drug therapy
Reperfusion Injury - prevention & control
Respiratory Insufficiency - surgery
Tissue and Organ Procurement - methods
Tissue Donors - ethics
Tissue Donors - supply & distribution
Tissue Survival
uncontrolled donor
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Summary:The widespread application of lung transplantation is limited by the shortage of suitable donor organs resulting in longer waiting times for listed patients with a substantial risk of dying before transplantation. To overcome this critical organ shortage, some transplant programs have now begun to explore the use of lungs from circulation-arrested donors, so called non-heart-beating donors (NHBDs). This review outlines the different categories of NHBDs, the relevant published experimental data that support the use of lungs coming from these donors and the clinical experience worldwide so far. Techniques for NHBD lung preservation and pretransplant functional assessment are reviewed. Ethical issues involved in transplanting lungs from asystolic donors are discussed.
ISSN:1043-0679
1532-9488
DOI:10.1053/j.semtcvs.2004.09.014