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Abstract: Normothermic regional perfusion (NRP) in controlled donation after the circulatory determination of death (cDCD) is a growing preservation technique for abdominal organs that coexists with the rapid recovery of lungs. We aimed to describe the outcomes of lung transplantation (LuTx) and liver transplantation (LiTx) when both grafts are simultaneously recovered from cDCD donors using NRP and compare them with grafts recovered from donation after brain death (DBD) donors. All LuTx and LiTx meeting these criteria during January 2015 to December 2020 in Spain were included in the study. Simultaneous recovery of lungs and livers was undertaken in 227 (17%) donors after cDCD with NRP and 1879 (21%) DBD donors (P < .001). Primary graft dysfunction grade-3 within the first 72 hours was similar in both LuTx groups (14.7% cDCD vs. 10.5% DBD; P = .139). LuTx survival at 1 and 3 years was 79.9% and 66.4% in cDCD vs. 81.9% and 69.7% in DBD (P = .403). The incidence of primary nonfunction and ischemic cholangiopathy was similar in both LiTx groups. Graft survival at 1 and 3 years was 89.7% and 80.8% in cDCD vs. 88.2% and 82.1% in DBD LiTx (P = .669). In conclusion, the simultaneous rapid recovery of lungs and preservation of abdominal organs with NRP in cDCD donors is feasible and offers similar outcomes in both LuTx and LiTx recipients to transplants using DBD grafts.
Fuente: American Journal of Transplantation, 2023 , 23(7), 996-1008
Editorial: Wiley Periodicals Inc.
Año de publicación: 2023
Nº de páginas: 13
Tipo de publicación: Artículo de Revista
DOI: 10.1016/j.ajt.2023.04.016
ISSN: 1600-6135,1600-6143
Url de la publicación: https://doi.org/10.1016/j.ajt.2023.04.016 Get rights and content
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CAMPO-CANAVERAL DE LA CRUZ, JOSE LUIS
EDUARDO MIÑAMBRES GARCIA
COLL, ELISABETH
PADILLA, MARÍA
SANCHEZ ANTOLÍN, GLORIA
DE LA ROSA, GLORIA
ROSADO, JOEL
GONZALEZ GARCÍA, FRANCISCO JAVIER
CROWLEY CARRASCO, SILVANA
SALES BADÍA, GABRIEL
FIERIA COSTA, EVA MARÍA
GARCÍA SALCEDO, JOSE ALBERTO
VÍCTOR MANUEL MORA CUESTA
DE LA TORRE, CARLOS
BADENES, RAFAEL
ATUTXA BIZKARGUENAGA, LANDER
DOMÍNGUE GIL, BEATRIZ
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