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Right arrow Transplantation - heart

J Thorac Cardiovasc Surg 2004;127:297-299
© 2004 The American Association for Thoracic Surgery

Brief communication

Bipulmonary transplants with lungs obtained from two non–heart-beating donors who died out of hospital

José Ramón Nuñez, MD, PhD, Andrés Varela, MD, PhD, Francisco del Río, MD, Pablo Gámez, MD, Joaquín Calatayud, MD, Mar Córdoba, MD, Florentino Hernando, MD, Piedad Ussetti, MD, Ana Gómez, MD, Maria Cruz Carreño, MD, Antonio Torres, MD, PhD, Javier Gómez, MD, José Luis Balibrea, MD, PhD, Ana López, MD

Received for publication November 13, 2002; accepted for publication December 16, 2002.

The first 20% of the full text of this article appears below.

In Madrid there is a specific protocol (code 9) that allows out-of-hospital emergency service personnel and transplant teams of Hospital Clínico San Carlos (HCSC) to harvest organs from non–heart-beating donors (NHBDs) for transplantation. We have reported on the quality of kidneys obtained from NHBDs.1,2 On the basis of the first medical report of a lung transplant from an NHBD,3 we conducted a clinical, functional, and histologic study in collaboration with the Thoracic Surgery Service of Clínica Puerta de Hierro to prove the quality of lungs from NHBDs.

Clinical summary

After 30 minutes of cardiopulmonary resuscitation maneuvers are performed in the potential donor, the medical staff assesses cardiac death and establishes the compliance with standard selection criteria (Table 1). The transplant coordinator of HCSC is notified, and the patient is transferred to a hospital in a mobile intensive care unit while receiving cardiopulmonary resuscitation. At the donor's arrival, death is certified, judicial and family permission are obtained, and a chest x-ray film and blood samples . . . [Full Text of this Article]




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