Sotiropoulos G C, Vernadakis S, Machairas N, Kaiser G M, Fouzas I, Treckmann J, Paul A
Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Germany.
Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Germany.
Transplant Proc. 2019 Mar;51(2):390-391. doi: 10.1016/j.transproceed.2019.01.075. Epub 2019 Jan 28.
Organ procurement from deceased donors has been steadily augmented over the last 20 years. With a more aged donor population, a higher incidence of intraabdominal pathologies, including abdominal aortic aneurysms and atherosclerotic aortic disease, is commonly being encountered. The objective of our study was to report our institutional experience with abdominal aortic grafts during solid organ harvesting.
Data concerning the presence of aortic grafts in deceased solid organ donors during a 36-month period were retrospectively reviewed.
During the study period, the organ retrieval team of our institution performed 246 multiorgan retrievals from deceased donors. More specifically, we harvested 6 livers and 12 kidneys from 6 donors with abdominal aortic grafts, which were not known/diagnosed to the organ retrieving team prior to the harvesting procedure. Severe atherosclerosis was present in all these donors. All 18 harvested organs were successfully transplanted. Apart of the absence of the aortic patch in 5 kidney grafts, no further special technical difficulties have been reported by the transplant teams. Data analysis of the recipient and graft outcome was performed through the Eurotransplant database.
There are so far no literature data on the outcome of recipients and grafts from deceased donors with abdominal aortic grafts. Although retrieval of such organs is very challenging and requires a very experienced team, the transplantation of the corresponding organs can be performed without special technical problems.
在过去20年中，来自已故供体的器官获取量一直在稳步增加。随着供体年龄的增长，腹内疾病的发生率更高，包括腹主动脉瘤和动脉粥样硬化性主动脉疾病，这些情况越来越常见。我们研究的目的是报告我们机构在实体器官获取过程中处理腹主动脉移植物的经验。
回顾性分析了36个月期间已故实体器官供体中主动脉移植物的相关数据。
在研究期间，我们机构的器官获取团队从已故供体中进行了246次多器官获取。具体而言，我们从6名有腹主动脉移植物的供体中获取了6个肝脏和12个肾脏，在获取手术前，器官获取团队并不知晓/诊断出这些移植物。所有这些供体都存在严重的动脉粥样硬化。所有18个获取的器官均成功移植。除了5个肾移植物中没有主动脉补片外，移植团队未报告其他特殊技术困难。通过欧洲移植数据库对受者和移植物的结果进行了数据分析。
到目前为止，尚无关于有腹主动脉移植物的已故供体的受者和移植物结果的文献数据。尽管获取此类器官极具挑战性，需要经验丰富的团队，但相应器官的移植可以在没有特殊技术问题的情况下进行。
