Extracorporeal Life Support in Organ Transplant Donors
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 328-332, 2018.
Artigo
em Inglês
| WPRIM
| ID: wpr-717309
ABSTRACT
BACKGROUND:
Extracorporeal life support (ECLS) can be applied in brain-dead donors for organ perfusion before donation, thereby expanding the donor pool. The aim of this study was to examine the benefits and early clinical outcomes of ECLS for organ preservation.METHODS:
Between June 2012 and April 2017, 9 patients received ECLS with therapeutic intent or for organ preservation. The following data were collected demographics, purpose and duration of ECLS, cause of death, dose of vasoactive drugs, and need for temporary dialysis before organ retrieval. The early clinical outcomes of recipients were studied, as well as survival and graft function at 1 month.RESULTS:
ECLS was initiated for extracorporeal cardiopulmonary resuscitation in 5 patients. The other patients needed ECLS due to hemodynamic deterioration during the assessment of brain death. We successfully retrieved 18 kidneys, 7 livers, and 1 heart from 9 donors. All organs were transplanted and none were discarded. Only 1 case of delayed kidney graft function was noted, and all 26 recipients were discharged without any significant complications.CONCLUSION:
The benefits of protecting the vital organs of donors is significant, and ECLS for organ preservation can be widely used in the transplantation field.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Preservação de Órgãos
/
Perfusão
/
Doadores de Tecidos
/
Transplante
/
Obtenção de Tecidos e Órgãos
/
Morte Encefálica
/
Oxigenação por Membrana Extracorpórea
/
Demografia
/
Causas de Morte
/
Reanimação Cardiopulmonar
Limite:
Humanos
Idioma:
Inglês
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2018
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS