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Donor heart and lung procurement: A consensus statement.

  • Copeland H Division of Cardiac Surgery University of Mississippi Medical Center Jackson, MS. Electronic address: hannahcopeland411@gmail.com.
  • Hayanga JWA Division of Thoracic Surgery West Virginia University Morgantown, WV.
  • Neyrinck A Department of Anesthesiology University Hospital Leuven, Leuven, Belgium.
  • MacDonald P Department of Cardiology, St. Vincent's Hospital Sydney, Australia.
  • Dellgren G Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
  • Bertolotti A Department of Cardiothoracic Surgery, Favaloro Foundation Buenos Aires, Argentina.
  • Khuu T BioCryst Pharmaceuticals, Durham, North Carolina.
  • Burrows F Department of Pharmacy, St. Vincent's Hospital Sydney, Australia.
  • Copeland JG Department of Surgery University of Arizona Tucson, Arizona.
  • Gooch D Indiana University Health, Methodist Hospital Indianapolis, Indiana.
  • Hackmann A Department of Surgery, University of Texas Southwestern, Dallas Texas.
  • Hormuth D Marian University Indianapolis, IN.
  • Kirk C Department of Pharmacy - Seattle Children's Hospital Seattle, Washington.
  • Linacre V Instituto Nacional de Torax, Santiago, Chile.
  • Lyster H Department of Pharmacy Royal Brompton and Harefield NHS Foundation trust London, United Kingdom.
  • Marasco S Department of Cardiothoracic Surgery Alfred Hospital Melbourne, Australia.
  • McGiffin D Department of Cardiothoracic Surgery Alfred Hospital, Melbourne, Australia.
  • Nair P Intensive Care, St. Vincent's hospital, Sydney, Australia.
  • Rahmel A German Organ Procurement Organization.
  • Sasevich M First California Physician Partners Cardiothoracic and Cardiovascular Surgery, Modesto, California.
  • Schweiger M University Children's Hospital Zurich Department of Congenital and Cardiovascular Surgery Zurich, Switzerland.
  • Siddique A Department of Surgery, University of Nebraska Medical Center.
  • Snyder TJ North American Transplant Coordinators Organization (NATCO), Gift of Life Donor Program, Philadelphia, Pennsylvania.
  • Stansfield W Advocate Christ Medical Center, Oak Lawn, IL.
  • Tsui S Department of Cardiothoracic Surgery Papworth Hospital NHS Foundation Trust, Cambridge, United Kingdom.
  • Orr Y Children's Hospital at Westmead and Sydney Children's Hospital in Sydney, Australia.
  • Uber P Department of Pharmacy, Allegheny Health Network, Pittsburgh, Pennsylvania.
  • Venkateswaran R Department of Cardiothoracic Surgery, University Hospital South Manchester NHS Foundation Trust Manchester, United Kingdom.
  • Kukreja J Department of Surgery, Division of Thoracic Surgery University of California San Francisco, San Francisco, California.
  • Mulligan M Department of Surgery, Division of Thoracic Surgery, University of Washington, Seattle, Washington.
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  • 2020-06-07
Published in:
  • The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation. - 2020
donation after circulatory death
heart
lung
procurement
thoracic donor
English Heart and lung procurements are multiphased processes often accompanied by an array of complex logistics. Approaches to donor evaluation and management, organ procurement, and organ preservation vary among individual procurement teams. Because early graft failure remains a major cause of mortality in contemporary thoracic organ transplant recipients, we sought to establish some standardization in the procurement process. This paper, in this vein, represents an international consensus statement on donor heart and lung procurement and is designed to serve as a guide for physicians, surgeons, and other providers who manage donors to best optimize the clinical status for the procurement of both heart and lungs for transplantation. Donation after brain death (DBD) and donation after circulatory determination death (referred to as donation after circulatory death [DCD] for the remainder of the paper) for both heart and lung transplantation will be discussed in this paper. Although the data available on DCD heart donation are limited, information regarding the surgical technique for procurement is included within this consensus statement. Furthermore, this paper will focus on adult DBD and DCD heart and lung procurement. Currently, no certification, which is either recognized and/or endorsed by the transplant community at large, exists for the training of a cardiothoracic procurement surgeon. Nevertheless, establishing a training curriculum and credentialing requirements are beyond the scope of this paper.
Language
  • English
Open access status
bronze
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/21933
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