Reference : What is the potential increase in the heart graft pool by cardiac donation after circula...
Scientific journals : Article
Human health sciences : Surgery
http://hdl.handle.net/2268/132596
What is the potential increase in the heart graft pool by cardiac donation after circulatory death?
English
NOTERDAEME, Timothée [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie abdominale- endocrinienne et de transplantation >]
DETRY, Olivier mailto [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie abdominale- endocrinienne et de transplantation >]
HANS, Marie-France mailto [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie abdominale- endocrinienne et de transplantation >]
NELLESSEN, Eric mailto [Centre Hospitalier Universitaire de Liège - CHU > > Cardiologie >]
LEDOUX, Didier mailto [Centre Hospitalier Universitaire de Liège - CHU > > Soins intensifs >]
JORIS, Jean mailto [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
Meurisse, Michel mailto [Université de Liège - ULg > Département des sciences cliniques > Chirurgicale abdominale >]
Defraigne, Jean-Olivier mailto [Université de Liège - ULg > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique >]
Jan-2013
Transplant International
26
1
61-66
Yes (verified by ORBi)
International
0934-0874
1432-2277
[en] Heart transplantation remains the only definite treatment option for end-stage heart diseases. The use of hearts procured after donation after circulatory death (DCD) could help decrease the heart graft shortage. The aim of this study was to evaluate the potential increase in heart graft pool by developing DCD heart transplantation. We retrospectively reviewed our local donor database from 2006 to 2011, and screened the complete controlled DCD donor population for potential heart donors, using the same criteria as for donation after brain death (DBD) heart transplantation. Acceptable donation warm ischemic time (DWIT) was limited to 30 min. During this period 177 DBD and 70 DCD were performed. From the 177 DBD, a total of 70 (39.5%) hearts were procured and transplanted. Of the 70 DCD, eight (11%) donors fulfilled the criteria for heart procurement with a DWIT of under 30 min. Within the same period, 82 patients were newly listed for heart transplantation, of which 53 were transplanted, 20 died or were unlisted, and 9 were waiting. It could be estimated that 11% of the DCD might be heart donors, representing a 15% increase in heart transplant activity, as well as potential reduction in the deaths on the waiting list by 40%.
http://hdl.handle.net/2268/132596
10.1111/j.1432-2277.2012.01575.x
(c) 2012 The Authors. Transplant International (c) 2012 European Society for Organ Transplantation.

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