Procurement of lungs for transplantation following donation after circulatory death: the Alfred technique

Pankaj Saxena, Adam David Zimmet, Gregory I Snell, Bronwyn Levvey, Silvana Marasco, David McGiffin

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26 Citations (Scopus)


Introduction: Donation after circulatory death (DCD) is an evolving method for lung transplantation (LTx) with results comparable to donation after brain death (DBD). Materials and Methods: DCD lung transplant program requires a systematic approach for an efficient utilization of hospital resources. The surgical techniques have been developed to minimize the ischemic time during lung procurement. We have presented our management protocol and the surgical techniques as used at the Alfred Hospital in Melbourne, Australia. Results: We have transplanted 92 recipients with lungs procured from 91 donors over an 8 year period from May 2006 to July 2014. This accounted for an extra 19 lung transplant operations performed during this time period. Operative mortality was 1 and 8 year survival was 71 in DCD lung recipients. Conclusions: DCD lung transplantation provides an additional significant pool of lung donors with satisfactory short and long term outcomes
Original languageEnglish
Pages (from-to)642 - 646
Number of pages5
JournalJournal of Surgical Research
Issue number2
Publication statusPublished - 2014

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