Liver Transplantation Using DCD Donors: The Current Strategy to Expand the Organ Donor Pool in China

Liver Transplantation Using DCD Donors: The Current Strategy to Expand the Organ Donor Pool in China
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使用 DCD 供体进行肝移植:当前扩大中国器官供体库的策略

DOI:
10.1111/ajt.12295
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发表时间:
2013-07
影响因子:
8.8
通讯作者:
Wang, L.
Wang, L.
中科院分区:
医学2区
文献类型:
--
作者:
Wang, B.;Wang, Z.;Tian, M.;Wang, L.

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We read the study by Chen et al. (1) that reported the current situation of the use of donation after cardiac death (DCD) for kidney transplantation in China. Compared with the donation after brain death (DBD) in European countries, DCD kidneys of their center have similar graft survival, lower primary nonfunction (PNF) rates and delayed graft function (DGF) rates. They shared their experience and demonstrated the feasibility of DCD donation in kidney transplantation. In China, liver transplantation also faced the continuing organ shortage crisis. Since the Chinese guidelines for donation after cardiac death were promulgated on March 2010, 27 DCD liver transplantationswere performed at our institution until December 2012. The characteristics of the donors and recipients were described in Figure 1. Mean warm ischemic time (asystole to in situ cold perfusion) at recovery was 8.84 min, and the mean cold ischemic time was 6.26 h. The rates of symptomatic nonanastomotic biliary strictures (NABS), bile leaks, hepatic artery stenosis (HAS) and primary nonfunction (PNF) was
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