Tags Archives: donation after circulatory death (DCD)

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      Dr.Sam Zeraatian Nejad Davani, Cardiovascular and Thoracic Surgeon, Transplant and Thoracic Organs Recovery Surgeon. Director of Georgia Atlanta Procure on Demand Thoracic Organs Transplant and Procurement Surgery. ..

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    In Thoracoabdominal Normothermic Regional Perfusion (TA-NRP) for Donation after Circulatory Death (DCD), initiating central cannulation with a venous-first approach serves as a critical step to decompress an acutely..

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Abstract Traditional methods of heart transplantation utilizing allografts from donors after circulatory death (DCD) involve 2 periods of ischemia and 2 ischemia reperfusion injuries (IRI). Both ischemia and IRI are..

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    Surgical Procurement of a Donor Heart with Complex Congenital and Venous Anomalies: PLSVC, Coronary Sinus Dilation, RA Aneurysm, and Patent Ductus Arteriosus (PDA) In thoracic organ transplantation, discovering..

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    Partial Heart and Lung Transplantation: Maximizing Donor Organ Utilization Through Two-Recipient Transplantation Partial heart and lung transplantation is an innovative organ utilization strategy that allows transplantation of thoracic..

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      Managing aortic and pulmonary root enlargement in donor organs requires a meticulous, proactive strategy to ensure structural stability before implantation into an emergency recipient. Utilizing a double..

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    Managing complex congenital anomalies during multi-organ donor procurement requires precise surgical tailoring to preserve the structural integrity of the heart. When faced with a donor harboring both a..

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  Oxygenated Cardioplegia (OCP) using a blood-based vehicle represents a significant shift from traditional cold crystalloid preservation during multi-organ heart and lung procurements. By leveraging a mixture of oxygenated donor..

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    Navigating the Anatomical Storm: Complex Heart-Lung Procurement and Back-Table Reconstruction   In the high-stakes arena of cardiothoracic transplantation, procurement surgery is often treated as a standardized exercise. Surgeons..

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      Procuring organs from a complex donor presenting with a double Azygos system, anatomically corrected malposition of the great arteries (ACMGA), a hypoplastic left hemithorax, and severe kyphoscoliosis..

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Abstract Introduction Donation after circulatory death (DCD) has re-emerged as a means of expanding the donor heart pool. Current clinical practice relies mainly on direct procurement followed by normothermic machine..

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Technical Draft and Procedural Overview Introduction Retrograde priming during TransMedics Organ Care System (OCS) Heart cardiac procurement is an advanced perfusion maneuver designed to optimize coronary de-airing, improve myocardial washout,..

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      1. Donor Identification •Identify a potential DCD donor (Maastricht category III or II in some systems). •Patient has devastating neurologic or systemic injury but does not meet..

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Abstract Normothermic regional perfusion (NRP) has emerged as one of the most consequential innovations in modern liver transplantation, particularly in the context of controlled donation after circulatory death (cDCD). Historically,..

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Abstract A recent series of near-misses in which patients scheduled for organ recovery exhibited unexpected signs of consciousness recognized only moments before initiation of surgery has triggered investigations by national bodies. In September 2024, a..

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I. PRE-PROCUREMENT PREPARATION (DCD CONTEXT)   1. Donor Selection and Planning •Confirm controlled DCD donor (Maastricht Category III). •Review: •Warm ischemic time (WIT) thresholds •Functional warm ischemia (fWIT) •Hemodynamics prior..

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Abstract Background The increasing prevalence of end-stage heart failure coupled with limited donor organs creates a critical need for novel strategies in heart transplantation. Donation after circulatory death offers a..

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Abstract Background: The gold standard for treatment of patients with end-stage heart failure remains . Time spent on the active waiting list, notably for  patients, contributes to alarmingly high mortality. Donation after..

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Abstract The need for organs suitable for transplantation has continued to rise as need outweighs availability. Increased demand has driven innovation in the field. Over the past ten years, donation..

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Abstract Normothermic regional perfusion (NRP) is a strategy of postmortem reperfusion with warm oxygenated blood of a portion of the body applied in donors undergoing circulatory determination of death (DCDDs)...

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Abstract Cardiac allotransplantation is warranted in children with end-stage heart failure or irreparable congenital heart disease. A dearth of organs for transplantation has contributed to long wait-list times and resultant..

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Abstract Background Donation after circulatory death (DCD) heart transplants have increased in the United States with direct procurement with machine perfusion (DPP) and thoracoabdominal normothermic regional perfusion (TA-NRP) techniques. There..

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Abstract Donation after circulatory death (DCD) is driving the increase in deceased organ donors in the United States. Normothermic regional perfusion (NRP) and ex situ machine perfusion (es-MP) have been..

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Perfusión regional normotérmica (PRN) para la obtención de órganos en donación en asistolia controlada.   Ponente: Dr. Juan Blanco (España) Enfermero. Máster y Posgrado en Técnicas de perfusión y oxigenación..

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Abstract OBJECTIVES Donation after circulatory death provides excellent patient outcomes in heart transplantation; however, warm ischaemic graft damage remains a concern. We have reported that a brief period of hypothermic..

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Abstract BACKGROUND: A preservation system, the Organ Care System (OCS; TransMedics) uses normothermic pulsatile perfusion during organ transport for heart transplantation. This system has demonstrated favorable outcomes in hearts recovered..

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Abstract Controlled donation after the circulatory determination of death (cDCDD) has emerged as a strategy to increase the availability of organs for clinical use. Traditionally, organs from cDCDD donors have..

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Extracorporeal lung perfusion and donation (EVLPD) in donation after circulatory death (DCD) patients is a groundbreaking advancement in organ transplantation, and Professor Sam Zeraatiannejaddavani, a world-renowned surgeon, has been at..

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Abstract Heart transplantation (HT) is the gold standard treatment of end-stage heart disease. Waitlist mortality remains high due to a shortage of available donor organs. Donation after circulatory death (DCD)..

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As the field of organ transplantation continues to evolve, the use of Donation after Circulatory Death (DCD) donors has emerged as a critical method to expand the donor pool. However,..