The Use of Extracorporeal Circulation in Suspected Brain Dead Organ Donors with Cardiopulmonary Collapse.

Abstract:

:Donor shortage is a major limitation in organ transplantation. Several studies have reported that extracorporeal membrane oxygenation (ECMO)-assisted organ donation can be successfully completed without inducing warm ischemia in patients with brain death. The present report described clinical experience of three patients (23-yr old man, 32-yr old man, and 41-yr old woman) who underwent ECMO for the evaluation of brain death and organ donation. They donated six kidneys, three livers, and one both lungs without warm ischemia by ECMO. Six kidney recipients successfully recovered normal status without hemodialysis and two liver recipients survived with normal liver functions, but one liver recipient and one lung recipient died 3 and 15 days after transplantation. Our report strongly encourages ECMO-assisted organ donation from brain death patients with refractory cardiopulmonary collapse to achieve improved organ transplantation.

journal_name

J Korean Med Sci

authors

Lee H,Cho YH,Sung K,Yang JH,Chung CR,Jeon K,Suh GY

doi

10.3346/jkms.2015.30.12.1911

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

1911-4

issue

12

eissn

1011-8934

issn

1598-6357

journal_volume

30

pub_type

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