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Journal article
ASTS Recommended Practice Guidelines for Controlled Donation after Cardiac Death Organ Procurement and Transplantation
American journal of transplantation, v 9(9), pp 2004-2011
01 Sep 2009
PMID: 19624569
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The American Society of Transplant Surgeons (ASTS) champions efforts to increase organ donation. Controlled donation after cardiac death (DCD) offers the family and the patient with a hopeless prognosis the option to donate when brain death criteria will not be met. Although DCD is increasing, this endeavor is still in the midst of development. DCD protocols, recovery techniques and organ acceptance criteria vary among organ procurement organizations and transplant centers. Growing enthusiasm for DCD has been tempered by the decreased yield of transplantable organs and less favorable posttransplant outcomes compared with donation after brain death. Logistics and ethics relevant to DCD engender discussion and debate among lay and medical communities. Regulatory oversight of the mandate to increase DCD and a recent lawsuit involving professional behavior during an attempted DCD have fueled scrutiny of this activity. Within this setting, the ASTS Council sought best-practice guidelines for controlled DCD organ donation and transplantation. The proposed guidelines are evidence based when possible. They cover many aspects of DCD kidney, liver and pancreas transplantation, including donor characteristics, consent, withdrawal of ventilatory support, operative technique, ischemia times, machine perfusion, recipient considerations and biliary issues. DCD organ transplantation involves unique challenges that these recommendations seek to address.
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Details
- Title
- ASTS Recommended Practice Guidelines for Controlled Donation after Cardiac Death Organ Procurement and Transplantation
- Creators
- D. J. Reich - Drexel UniversityD. C. Mulligan - Mayo Clinic, Scottsdale AZ.P. L. Abt - University of PennsylvaniaT. L. Pruett - University of VirginiaM. M. I. Abecassis - Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USAA. D'Alessandro - University of WisconsinE. A. Pomfret - Lahey Medical CenterR. B. Freeman - Tufts UniversityJ. F. Markmann - Harvard University ,D. W. Hanto - Harvard University ,A. J. Matas - University of MinnesotaJ. P. Roberts - University of California, San FranciscoR. M. Merion - University of Michigan–Ann ArborG. B. G. Klintmalm - Baylor University Medical CenterASTS Stand Organ Transplantation C
- Publication Details
- American journal of transplantation, v 9(9), pp 2004-2011
- Publisher
- Wiley
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000269180500006
- Scopus ID
- 2-s2.0-69149101078
- Other Identifier
- 991019168135104721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery
- Transplantation