Uncontrolled deceased cardiac donation: An unutilized source for organ transplantation in the United States.

Abstract:

:The practice of uncontrolled donation after cardiac death (uDCD) has been met with tepid interest within the United States transplant community. Hesitancy stems largely from fears of eroding public trust due to complex ethical issues involving consent. Beyond ethical concerns, uDCD creates unique logistic challenges to obtain and to preserve organs within a short time frame. This mandates that organ recovery centers be able to rapidly mobilize, and that traditional cold preservation techniques may be inadequate. Proof of effective uDCD organ recovery comes from several European nations, and the frequency of its use is increasing due to early promising results. These scarce resources provide life-saving organs to desperate transplant candidates who otherwise experience high morbidity and mortality on a transplant waitlist. The objective of this review will be to provide an overview of the European experience with uDCD and discuss the unique ethical and logistic challenges associated with its implementation in the United States. Given existing models for it successful use, uDCD remains a poorly utilized source of donors in the United States at this time.

journal_name

Clin Transplant

journal_title

Clinical transplantation

authors

Choudhury RA,Prins K,Moore HB,Yoeli D,Kam A,Nydam TL

doi

10.1111/ctr.13474

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

e13474

issue

3

eissn

0902-0063

issn

1399-0012

journal_volume

33

pub_type

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