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Solid organ transplantation originating from uncontrolled donation after circulatory death in Europe: a narrative review.
Scand J Trauma Resusc Emerg Med
December 2024
Emergency Department, Cliniques Universitaires Saint-Luc, Emergency Medicine, Department of Public Health and Primary Care, Faculty of Medicine, Catholic University Leuven, Brussels, Belgium.
Human organ transplantation has begun in the 1960s with donation after circulatory death. At that time this was named non heart beating donation, later donation after cardiac death and nowadays it is named donation after circulatory death. Currently, we are facing a significant shortage of transplant organs in Europe and worldwide.
View Article and Find Full Text PDFDeveloping a thoracoabdominal normothermic regional perfusion (TA-NRP) program for the recovery of organs for thoracic transplant: lessons from the United States experience.
Ann Cardiothorac Surg
November 2024
Department of Surgery, Division of Cardiothoracic Surgery, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, CO, USA.
Article Synopsis
- Heart and lung transplantation are important treatments for severe heart and lung failure, but there's a shortage of donor organs, prompting interest in thoracoabdominal normothermic regional perfusion (TA-NRP) to enhance organ availability from circulatory death donors.
- A study evaluated a single-center TA-NRP program, highlighting essential processes and challenges in its adoption, noting an average TA-NRP initiation time of about 7 minutes and overall duration of 87 minutes.
- Key factors for successful implementation included identifying stakeholders, maintaining communication, addressing ethical concerns, and developing care protocols for all phases of the donation process.
Normothermic cardiopulmonary bypass and beating heart surgery for renal cell cancer with tumor thrombus extension into inferior vena cava and right atrium: a less invasive strategy.
World J Urol
December 2024
Department of Cardiac Surgery, IRCCS Policlinico San Donato, Milan, Italy.
Purpose: Management of renal cell carcinoma (RCC) with inferior vena cava (IVC) extension is one of the greatest challenges in urology. The gold standard treatment includes extracorporeal circulation and deep hypothermic circulatory arrest (DHCA). However, this surgical treatment has an impact on survival and prognosis.
View Article and Find Full Text PDFOutcomes of extracorporeal life support in hypothermic cardiac arrest: Revisiting ELSO guidelines.
Resuscitation
December 2024
Department of Emergency Medicine, Jan Kochanowski University, Kielce, Poland.
Aim Of The Study: Predictive factors for poor outcomes in hypothermic cardiac arrest (HCA) differ from those in normothermic out-of-hospital cardiac arrest (OHCA). This study aimed to evaluate the outcomes of extracorporeal life support (ECLS) in HCA patients who may not be considered eligible based on the guidelines set by the Extracorporeal Life Support Organization (ELSO).
Methods: A retrospective multicentre study included 127 HCA patients, divided into two groups: those meeting the ELSO eligibility criteria for ECLS, and those with at least one of the following ELSO exclusion criteria: age over 70 years, unwitnessed cardiac arrest, or asystole.
COMPARATIVE ANALYSIS OF THE CLINICAL RESULTS OF PATIENTS WITH ASD OPERATED VIA RIGHT ANTERIOR MINITHORACOTOMY AND MEDIAN STERNOTOMY.
Georgian Med News
October 2024
3A. Yassawi International Kazakh-Turkish University, Kazakhstan, Turkestan.
Article Synopsis
- The study evaluated right anterior minithoracotomy as a less invasive alternative to median sternotomy for correcting atrial septal defects, aiming for better cosmetic outcomes.
- Conducted between April 2008 and February 2017, the study involved 102 patients averaging 19.2 years, with a variety of atrial septal defect types corrected using a small incision.
- Results showed no mortality or major complications; patients had a short average recovery time and reported high satisfaction with the cosmetic results of the surgery.
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