Donor heart and lung procurement: A consensus statement

Hannah Copeland, J. W.Awori Hayanga, Arne Neyrinck, Peter MacDonald, Goran Dellgren, Alejandro Bertolotti, Tam Khuu, Fay Burrows, Jack G. Copeland, Danyel Gooch, Amy Hackmann, David Hormuth, Christa Kirk, Virginia Linacre, Haifa Lyster, Silvana Marasco, David McGiffin, Priya Nair, Axel Rahmel, Michael SasevichMartin Schweiger, Aleem Siddique, Timothy J. Snyder, William Stansfield, Steven Tsui, Yishay Orr, Patricia Uber, Rajimyer Venkateswaran, Jasleen Kukreja, Michael Mulligan

Research output: Contribution to journalArticleOtherpeer-review

5 Citations (Scopus)

Abstract

Heart and lung procurements are multiphased processes often accompanied by an array of complex logistics. Approaches to donor evaluation and management, organ procurement, and organ preservation vary among individual procurement teams. Because early graft failure remains a major cause of mortality in contemporary thoracic organ transplant recipients, we sought to establish some standardization in the procurement process. This paper, in this vein, represents an international consensus statement on donor heart and lung procurement and is designed to serve as a guide for physicians, surgeons, and other providers who manage donors to best optimize the clinical status for the procurement of both heart and lungs for transplantation. Donation after brain death (DBD) and donation after circulatory determination death (referred to as donation after circulatory death [DCD] for the remainder of the paper) for both heart and lung transplantation will be discussed in this paper. Although the data available on DCD heart donation are limited, information regarding the surgical technique for procurement is included within this consensus statement. Furthermore, this paper will focus on adult DBD and DCD heart and lung procurement. Currently, no certification, which is either recognized and/or endorsed by the transplant community at large, exists for the training of a cardiothoracic procurement surgeon. Nevertheless, establishing a training curriculum and credentialing requirements are beyond the scope of this paper.

Original languageEnglish
Pages (from-to)501-517
Number of pages17
JournalThe Journal of Heart and Lung Transplantation
Volume39
Issue number6
DOIs
Publication statusPublished - Jun 2020
Externally publishedYes

Keywords

  • donation after circulatory death
  • heart
  • lung
  • procurement
  • thoracic donor

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