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PRACTICAL USE OF EXTRACORPOREAL MEMBRANE OXYGENATION IN ORGAN DONATION FOR TRANSPLANTATION

https://doi.org/10.15825/1995-1191-2012-1-27-35

Abstract

In Russia more than 50% of effective donors are non – heartbeating donors. As we all know, they appear mainly as the source of kidney transplants. The perfusion in situ through DBTL catheter is the most frequent technique usable. The rate of delayed graft function (DGF) following the DBTL perfusion may vary from 48 to 78,4%. ECMO technology use in organ donation may lead to dramatic decrease in DGF and create premises for multiorgan explantation. In the following paper we present the first Moscow experience of ECMO use in our practice of organ donation. 

About the Authors

M.G. Minina
Department of Transplantology and Artificial Organs of Moscow State University of Medicine and Dentistry
Russian Federation


M.Sh. Khubutia
Sklifasovsky Research Institute of Emergency Medicine (Moscow Department of Health)
Russian Federation


K.K. Gubarev
Московский координационный центр органного донорства Департамента здравоохранения города Москвы
Russian Federation


V.A. Gulyaev
Sklifasovsky Research Institute of Emergency Medicine (Moscow Department of Health)
Russian Federation


A.V. Pinchuk
Sklifasovsky Research Institute of Emergency Medicine (Moscow Department of Health)
Russian Federation


M.M. Kaabak
Russian Research Center of Surgery named by B. Petrovsky
Russian Federation


B.V. Dabasambueva
Moscow Coordinating Center of Organ Donation (Moscow Department of Health)
Russian Federation


References

1. Минина М.Г. Комплексный подход в обеспечении эф- фективного донорства органов для трансплантации // Автореф. дис. канд. мед. наук. М., 2008.

2. Cardiopulmonary bypass. Principles and practice. Lippincott Williams & Wilkins 2008. Р. 35–45.

3. Cardiopulmonary bypass. Principles and practice. Lippincott Williams & Wilkins 2008. Р. 632–643.

4. Valero R., Cabrer C., Oppenheimer F. et al. Normothermic recirculation reduces primary graft dysfunction of kidneys obtained from non – heart – beating donors // Transpl. Int. 2000. Vol. 13. P. 303–310.

5. Magliocca J.F., Magee J.C., Rowe S.A. et al. Extracorporeal Support for Organ Donation after Cardiac Death effectively expands the Donor Pool // The Journal of Trau- ma, Injury, Infection, and Critical Care. Vol. 58. No 6. 2005. Р. 1095–1102.

6. Fondevila C., Hessheimer A.J., Ruiz A., Calatayud D. et al. Liver Transplant Using Donors After Unexpected Cardiac Death: Novel Preservation Protocol and Acceptance Criteria // American Journal оf Transplantation. 2007. Vol. 7. P. 1849–1855.

7. Casavilla A., Ramirez C., Shapiro R. et al. Experience with liver and kidney allografts from non – heart – beating donors // Transplantation. 1995. Vol. 59. P. 197–203.

8. Otero A., Gomez-Gutierrez M., Suarez F. et al. Liver transplantation from Maastricht category 2 non – heart – beating donors // Transplantation. 2003. Vol. 76. P. 1068–1073.

9. Cho Y.W., Terasaki P.I., Cecka J.M. et al. Transplantation of kidneys from donors whose hearts have stopped bea- ting // N. Engl. J. Med. Vol. 338. P. 221–225.

10. Daemen J.H., De Vries B., Kootstra G. Effect of machine perfusion preservation on delayed graft function in non – heart beating donor kidneys – early results // Transplant. Int. Vol. 10. P. 317–322.

11. Gonzales-Segura C., Castelao A.M., Torras J. et al. A good alternative to reduce kidney shortage. Kidneys from non – heartbeating donors // Transplantation. Vol. 65. P. 1465–1470.


Review

For citations:


Minina M., Khubutia M., Gubarev K., Gulyaev V., Pinchuk A., Kaabak M., Dabasambueva B. PRACTICAL USE OF EXTRACORPOREAL MEMBRANE OXYGENATION IN ORGAN DONATION FOR TRANSPLANTATION. Russian Journal of Transplantology and Artificial Organs. 2012;14(1):27-35. (In Russ.) https://doi.org/10.15825/1995-1191-2012-1-27-35

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ISSN 1995-1191 (Print)