[Liver transplant with donated graft after controlled cardiac

Cirugía española · Nov 2013

Review

[Liver transplant with donated graft after controlled cardiac death. Current situation].

An increasing pressure on the liver transplant waiting list, forces us to explore new sources, in order to expand the donor pool. One of the most interesting and with a promising potential, is donation after cardiac death (DCD). ⋯ The most outstanding circumstance involved in DCD donation is a potential ischemic stress, that could cause severe liver graft cell damage, resulting in an adverse effect on liver transplant results, in terms of complications and outcomes. The complex and particular issues related to DCD Donation will be discussed in this review.

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- Manuel Abradelo De Usera, Carlos Jiménez Romero, Carmelo Loinaz Segurola, and Enrique Moreno González.
- Servicio de Cirugía General, Aparato Digestivo y Trasplante de Organos Abdominales, Hospital Universitario 12 de Octubre, Madrid, España. Electronic address: manuel.abradelo@hotmail.com.
- Cir Esp. 2013 Nov 1;91(9):554-62.
AbstractAn increasing pressure on the liver transplant waiting list, forces us to explore new sources, in order to expand the donor pool. One of the most interesting and with a promising potential, is donation after cardiac death (DCD). Initially, this activity has developed in Spain by means of the Maastricht type II donation in the uncontrolled setting. For different reasons, donation after controlled cardiac death has been reconsidered in our country. The most outstanding circumstance involved in DCD donation is a potential ischemic stress, that could cause severe liver graft cell damage, resulting in an adverse effect on liver transplant results, in terms of complications and outcomes. The complex and particular issues related to DCD Donation will be discussed in this review.Copyright © 2012 AEC. Published by Elsevier Espana. All rights reserved.

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[Liver transplant with donated graft after controlled cardiac death. Current situation].

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