Maximum tolerable warm ischaemia time in transplantation from non-heart-beating-donors

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• 作者：Ornella Piazza^a ; ^{opiazza@unisa.it} ; Rosalba Romano^a ; Simona Cotena^b ; Walter Santaniello^c ; Edoardo De Robertis^b
• 关键词：Transplant management ; Non-heart-beating-donors ; Warm ischaemia time
• 刊名：Trends in Anaesthesia and Critical Care
• 出版年：2013
• 出版时间：April, 2013
• 年：2013
• 卷：3
• 期：2
• 页码：72-76
• 全文大小：208 K

文摘

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Summary

Donation after cardiac death is defined as organ donation once death is declared after irreversible cessation of circulatory and respiratory functions.

The aim of this subjective review is to evaluate the outcome of grafts and recipients in consideration of the length of ischaemia and individuating those who can be considered suitable donors after cardiac arrest.

Our main conclusion is that graft and patient survival are comparable either if the organs come from non-heart-beating-donors (NHBD) or heart beating donors (HBD) but complications were reported more frequently in NHBD than in HBD. Warm ischaemia time reduction and close selection of donors are keys to successful NHBD transplantation.