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国际心肺移植学会关于循环死亡判定控制下的供体摘取(cDCD)后进行的胸部器官移植的立场文件。

ISHLT position paper on thoracic organ transplantation in controlled donation after circulatory determination of death (cDCD).

机构信息

Department of Respiratory Medicine, Oslo University Hospital, Oslo, Norway; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

Division of Pulmonary and Critical Care Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.

出版信息

J Heart Lung Transplant. 2022 Jun;41(6):671-677. doi: 10.1016/j.healun.2022.03.005. Epub 2022 Mar 14.

DOI:10.1016/j.healun.2022.03.005
PMID:35370034
Abstract

Controlled organ donation after circulatory determination of death is increasingly being used for the donation of organs also in thoracic transplantation. This document outlines the position of the International Society for Heart and Lung Transplantation on thoracic organ transplantation in circulatory determination of death. The document also includes a position regarding some of the methods applied to ensure the viability of Donation after Circulatory Death organs retrieved after certification of death.

摘要

在循环死亡判定后进行控制性器官捐献,越来越多地被用于胸部移植中的器官捐献。本文概述了国际心肺移植学会在循环死亡判定下进行胸部器官移植的立场。本文还包含了一些方法的立场,这些方法旨在确保在死亡判定后获取的可捐献循环死亡器官的活力。

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ISHLT position paper on thoracic organ transplantation in controlled donation after circulatory determination of death (cDCD).国际心肺移植学会关于循环死亡判定控制下的供体摘取(cDCD)后进行的胸部器官移植的立场文件。
J Heart Lung Transplant. 2022 Jun;41(6):671-677. doi: 10.1016/j.healun.2022.03.005. Epub 2022 Mar 14.
2
The British transplantation society guidelines on organ donation from deceased donors after circulatory death.英国移植学会关于循环性死亡后已故供体器官捐献的指南。
Transplant Rev (Orlando). 2023 Dec;37(4):100791. doi: 10.1016/j.trre.2023.100791. Epub 2023 Aug 15.
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Outcomes of lung transplantation from organ donation after medical assistance in dying: First North American experience.在协助医疗死亡后器官捐献中进行肺移植的结果:第一例北美经验。
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Controlled donation after circulatory death in the Netherlands: more organs, more efforts.荷兰循环性死亡后的可控捐赠:更多器官,更多努力。
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Donor heart and lung procurement: A consensus statement.供心和供肺获取:共识声明。
J Heart Lung Transplant. 2020 Jun;39(6):501-517. doi: 10.1016/j.healun.2020.03.020. Epub 2020 Apr 21.
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Post-transplant outcomes of standard and extended criteria donation after circulatory death donor lungs categorized by donation after brain death lung criteria.脑死亡供肺标准和扩展标准下移植后循环死亡供体肺的移植结局分类。
Eur J Cardiothorac Surg. 2021 Sep 11;60(3):590-597. doi: 10.1093/ejcts/ezab121.
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An official American Thoracic Society/International Society for Heart and Lung Transplantation/Society of Critical Care Medicine/Association of Organ and Procurement Organizations/United Network of Organ Sharing Statement: ethical and policy considerations in organ donation after circulatory determination of death.美国胸科学会/国际心肺移植学会/重症医学学会/器官获取与移植组织协会/联合器官共享网络协会官方声明:循环判定死亡后器官捐献的伦理和政策考虑。
Am J Respir Crit Care Med. 2013 Jul 1;188(1):103-9. doi: 10.1164/rccm.201304-0714ST.
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Donation after circulatory death in lung transplantation-five-year follow-up from ISHLT Registry.肺移植中循环死亡器官捐献:ISHLT 注册研究的 5 年随访结果。
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The British Transplantation Society guidelines on cardiothoracic organ transplantation from deceased donors after circulatory death.英国移植学会关于循环死亡后已故供体心胸器官移植的指南。
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Does Controlled Donation after Circulatory Death Violate the Dead Donor Rule?控制性心脏死亡后捐献是否违反了死亡器官捐献者规则?
Am J Bioeth. 2023 Feb;23(2):4-11. doi: 10.1080/15265161.2022.2040646. Epub 2022 Mar 3.

引用本文的文献

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Why is organ transplantation from cardiac death donors necessary in Japan? An important strategy for heart transplantation in severe donor shortage.在日本,为何有必要进行来自心脏死亡供体的器官移植?这是在供体严重短缺情况下心脏移植的一项重要策略。
J Artif Organs. 2025 Feb 13. doi: 10.1007/s10047-025-01493-z.
2
Ethical Issues in Normothermic Regional Perfusion in Controlled Organ Donation After Determination of Death by Circulatory Criteria: A Scoping Review.循环标准判定死亡后可控器官捐献中常温局部灌注的伦理问题:一项范围综述
Transplantation. 2025 Apr 1;109(4):597-609. doi: 10.1097/TP.0000000000005161. Epub 2024 Aug 28.
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Lung Transplantation in Controlled Donation after Circulatory-Determination-of-Death Using Normothermic Abdominal Perfusion.
使用常温腹部灌注在循环死亡判定下的控制性捐献中的肺移植。
Transpl Int. 2024 May 1;37:12659. doi: 10.3389/ti.2024.12659. eCollection 2024.
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Update in lung transplantation: anesthetic considerations.肺移植最新进展:麻醉相关考量
Ann Transl Med. 2023 Oct 25;11(11):389. doi: 10.21037/atm-22-4602. Epub 2023 Jul 6.
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Dilemmas concerning heart procurement in controlled donation after circulatory death.循环性死亡后控制性捐献中涉及心脏获取的困境。
Front Cardiovasc Med. 2023 Jul 31;10:1225543. doi: 10.3389/fcvm.2023.1225543. eCollection 2023.
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Donation after circulatory death heart procurement strategy impacts utilization and outcomes of concurrently procured abdominal organs.循环死亡后捐献的心脏获取策略会影响同时获取的腹部器官的利用率和结果。
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Am J Transplant. 2022 Dec;22(12):2759-2780. doi: 10.1111/ajt.17198. Epub 2022 Oct 26.