Pai Vasudev, Asgari Ellie, Berman Marius, Callaghan Chris, Corris Paul, Large Stephen, Messer Simon, Nasralla David, Parmar Jas, Watson Chris, O'Neill Stephen
Wythenshawe Hospital, Manchester, UK.
Guy's Hospital, London, UK.
Transplant Rev (Orlando). 2023 Dec;37(4):100794. doi: 10.1016/j.trre.2023.100794. Epub 2023 Aug 30.
Maximising organ utilisation from donation after circulatory death (DCD) donors could help meet some of the shortfall in organ supply, but it represents a major challenge, particularly as organ donors and transplant recipients become older and more medically complex over time. Success is dependent upon establishing common practices and accepted protocols that allow the safe sharing of DCD organs and maximise the use of the DCD donor pool. The British Transplantation Society 'Guideline on transplantation from deceased donors after circulatory death' has recently been updated. This manuscript summarises the relevant recommendations from chapters specifically related to transplantation of cardiothoracic organs.
最大限度地利用循环性死亡(DCD)供体的器官有助于弥补器官供应的部分缺口,但这是一项重大挑战,尤其是随着时间的推移,器官供体和移植受者年龄越来越大,医学情况越来越复杂。成功与否取决于建立通用的做法和公认的方案,以实现DCD器官的安全共享,并最大限度地利用DCD供体库。英国移植学会的《循环性死亡后已故供体移植指南》最近进行了更新。本手稿总结了与心胸器官移植特别相关章节中的相关建议。