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心脏移植后循环死亡供者临床试验

Donors after circulatory death heart trial.

机构信息

Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA 94305-5407, USA.

出版信息

Future Cardiol. 2021 Jan;17(1):11-17. doi: 10.2217/fca-2020-0070. Epub 2020 Jul 6.

DOI:10.2217/fca-2020-0070
PMID:32628044
Abstract

Orthotopic heart transplantation is the gold standard treatment for end-stage heart failure. However, the persistent shortage of available donor organs has resulted in an ever-increasing waitlist and longer waiting periods for transplantation. On the contrary, increasing the number of heart transplants by preserving extended criteria donors and donation after circulatory death hearts with the Organ Care System™ (OCS) Heart System has the potential to provide the gold standard, life-saving treatment to patients with end-stage heart failure. The objective of the Donation After Circulatory Death Heart Trial is to evaluate the effectiveness of the OCS Heart System to preserve and assess hearts donated after circulatory death for transplantation to increase the pool of donor hearts available for transplantation, which can potentially provide patients with end-stage heart failure with the life-saving treatment. Clinical Trial Registration: NCT03831048 (ClinicalTrials.gov).

摘要

原位心脏移植是治疗终末期心力衰竭的金标准。然而,由于可供使用的捐献器官持续短缺,导致候补名单不断增加,移植等待时间也越来越长。相反,通过保存扩展标准供体和使用器官保存系统(OCS)心脏系统进行循环死亡后捐献的心脏来增加心脏移植数量,有可能为终末期心力衰竭患者提供标准的、救命的治疗。循环死亡后心脏捐献试验的目的是评估 OCS 心脏系统保存和评估循环死亡后捐献的心脏用于移植的效果,以增加可用于移植的供体心脏数量,从而有可能为终末期心力衰竭患者提供救命的治疗。临床试验注册:NCT03831048(ClinicalTrials.gov)。

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Donors after circulatory death heart trial.心脏移植后循环死亡供者临床试验
Future Cardiol. 2021 Jan;17(1):11-17. doi: 10.2217/fca-2020-0070. Epub 2020 Jul 6.
2
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J Clin Med. 2025 Feb 11;14(4):1152. doi: 10.3390/jcm14041152.
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Donation after circulatory death transplantation: a systematic review and meta-analysis of outcomes and methods of donation.循环死亡后器官捐献移植:对捐献结果和方法的系统评价与荟萃分析
Ann Cardiothorac Surg. 2025 Jan 26;14(1):11-27. doi: 10.21037/acs-2024-dcd-0132. Epub 2025 Jan 23.
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Revolutionizing Donor Heart Procurement: Innovations and Future Directions for Enhanced Transplantation Outcomes.
革新供体心脏获取:改善移植结果的创新与未来方向
J Cardiovasc Dev Dis. 2024 Jul 27;11(8):235. doi: 10.3390/jcdd11080235.
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Open- vs. closed-chest pig models of donation after circulatory death.循环死亡后捐献的开胸与闭胸猪模型
Front Cardiovasc Med. 2024 Jun 13;11:1325160. doi: 10.3389/fcvm.2024.1325160. eCollection 2024.
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Prediction Model for Contractile Function of Circulatory Death Donor Hearts Based on Microvascular Flow Shifts During Ex Situ Hypothermic Cardioplegic Machine Perfusion.基于体外低温心脏停搏机灌注期间微血管血流转移的循环死亡供心收缩功能预测模型。
J Am Heart Assoc. 2022 Dec 6;11(23):e027146. doi: 10.1161/JAHA.122.027146. Epub 2022 Nov 16.
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J Clin Med. 2022 Sep 28;11(19):5762. doi: 10.3390/jcm11195762.
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J Thorac Cardiovasc Surg. 2023 May;165(5):1849-1860.e6. doi: 10.1016/j.jtcvs.2022.05.005. Epub 2022 May 15.
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