Operative Techniques and Pitfalls in Donor Heart-Lung Procurement
Operative Techniques and Pitfalls in Donor Heart-Lung Procurement
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DOI：
10.1016/j.transproceed.2018.06.009
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发表时间：
2018-12-01
影响因子：
0.9
通讯作者：
Woo, Y. J.
中科院分区：
文献类型：
--
作者：
Salna, M.;Shudo, Y.;Woo, Y. J.
背景心肺联合移植是治疗终末期心肺衰竭的有效方法。随着器官稀缺性的增加，这些移植的比率正在下降，中心的经验正在减少。凭借超过35年的心肺移植经验，我们在此描述了我们的采购方案，并提供了避免潜在陷阱的建议，以确保在获取这些有价值的移植物方面的技术卓越性。采购问题最常见的器官保存和无意中损坏的结构，很难完全可视化。整体心肺获取可以有效和安全地教导学员，重点是避免可能损害移植功能的常见陷阱。
Background. Heart-lung transplantation is a well-established therapeutic modality for concomitant end-stage heart and lung failure. With growing organ scarcity, the rates of these transplants are declining, and center experience is waning.Methods. With over 35 years of experience performing heart-lung transplantation, we describe our procurement protocol herein, as well as offer suggestions to avoid potential pitfalls in order to ensure technical excellence in harvesting these valuable grafts.Results. Procurement issues most commonly arise with organ preservation and inadvertent damage to structures that are difficult to fully visualize.Conclusions. En-bloc heart-lung procurement can be taught effectively and safely to trainees with an emphasis on avoiding common pitfalls that may compromise graft function.