Fukushima Norihide
Department of Transplant Medicine, National Cerebral and Cardiovascular Center, Suita, Japan.
Kyobu Geka. 2016 Jan;69(1):65-75.
By renewal of Japanese Organ Transplantation Act on 17th July in 2010, organs can be donated after brain death with consent from their family, if he or she did not deny organ donation and brain dead organ donation increased from 10 to 50 cases in a year. Despite of an increase of heart transplantation (HTx), a waiting period for HTx has become longer because more candidates for HTx have been registered to Japan Organ Transplant Network. By renewal of the act, organ donation from brain dead children can be performed since then and pediatric left ventricular assist device, EXCOR was finally accepted to use in August 1st, 2015. However, only 3 children under 6 years of age have donated since then and oversea HTx increased again.
2010年7月17日日本《器官移植法》修订后，如果家属同意且当事人未拒绝器官捐赠，脑死亡后即可进行器官捐赠，脑死亡器官捐赠数量从每年10例增至50例。尽管心脏移植（HTx）数量有所增加，但由于更多HTx候选者加入日本器官移植网络，HTx的等待期变得更长。该法案修订后，自此可进行脑死亡儿童的器官捐赠，小儿左心室辅助装置EXCOR最终于2015年8月1日获批使用。然而，自那时起，仅有3名6岁以下儿童进行了捐赠，海外HTx数量再次增加。
