Combined thorax-abdomen extraction in a Maastricht type III donor

Authors

  • M. Barber Ansón Complejo Hospitalario de Navarra
  • A. N. García Herrera Complejo Hospitalario de Navarra
  • J. Roldán Ramírez Complejo Hospitalario de Navarra
  • M. Loinaz Bordonabe Complejo Hospitalario de Navarra
  • O. Agudo Pascual Complejo Hospitalario de Navarra
  • I. Osés Munarriz Complejo Hospitalario de Navarra

DOI:

https://doi.org/10.23938/ASSN.0225

Keywords:

Donation. Controlled cardiac death. Combined extraction. Abdominal normothermic regional perfusion.

Abstract

Donation after circulatory death (Maastricht type III donation) or controlled cardiac death refers to the retrieval of organs for transplantation purposes following death confirmed using circulatory criteria after the withdrawal of life support. The persistent shortfall in organ availability has prompted the development of donation programs following circulatory death for lung transplantation. The combined thorax-abdomen extraction in these cases is carried out in only twelve centres in Spain, while the combined use of abdominal normothermic regional perfusion (NRP) is even more exceptional. The first case of pulmonary and abdominal extraction in a Maastricht type III donor in Navarre with this type of preservation techniques is a milestone and the success achieved shows that it is a feasible and safe procedure.

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Author Biographies

M. Barber Ansón, Complejo Hospitalario de Navarra

Coordinación de trasplantes. Facultativo especialista de área en Medicina Intensiva.

A. N. García Herrera, Complejo Hospitalario de Navarra

Servicio de Medicina Intensiva. Médico Interno Residente

J. Roldán Ramírez, Complejo Hospitalario de Navarra

Coordinación de trasplantes. Facultativo especialista de área en Medicina Intensiva.

M. Loinaz Bordonabe, Complejo Hospitalario de Navarra

Coordinación de trasplantes. Facultativo especialista de área en Medicina Intensiva.

O. Agudo Pascual, Complejo Hospitalario de Navarra

Coordinación de trasplantes. Facultativo especialista de área en Medicina Intensiva.

I. Osés Munarriz, Complejo Hospitalario de Navarra

Coordinación de trasplantes. Facultativo especialista de área en Medicina Intensiva.

References

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THAMARA PR, PERERA M, CLUTTON-BROCK T, MUIESAN P. One donor, two types of preservation: first description of a donation after circulatory death donor with normothermic abdominal perfusion and simultaneous cold perfusion of lungs. Liver Transplant 2014; 20: 1012-1015.

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Published

2018-04-30

How to Cite

1.
Barber Ansón M, García Herrera AN, Roldán Ramírez J, Loinaz Bordonabe M, Agudo Pascual O, Osés Munarriz I. Combined thorax-abdomen extraction in a Maastricht type III donor. An Sist Sanit Navar [Internet]. 2018 Apr. 30 [cited 2026 Jan. 23];41(1):117-21. Available from: https://recyt.fecyt.es/index.php/ASSN/article/view/62266

Issue

Section

Clinical notes

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