Extended Donors in Liver Transplantation

Extended Donors in Liver Transplantation
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DOI:
10.1016/j.cld.2011.08.006
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发表时间:
2011-11-01
影响因子:
5.1
通讯作者:
Goss, John A.
Goss, John A.
中科院分区:
医学3区
文献类型:
--
作者:
Harring, Theresa R.;O'Mahony, Christine A.;Goss, John A.

文献摘要

被引文献

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有几个标准用于区分标准同种异体移植供体和扩展同种异体移植供体。这些标准包括心源性死亡、供体高龄、脂肪变性、供体既往恶性肿瘤、丙型肝炎病毒阳性同种异体移植物、人T细胞嗜淋巴细胞病毒阳性同种异体移植物、供体活动性感染、高风险供体、劈裂肝移植和活体供体肝移植。对文献的回顾可以引导每个从业者将扩展标准供体纳入他们的移植计划,从而个性化使用这些同种异体移植物,增加供体库,并降低总体等待名单死亡率。
Several criteria are used to differentiate between standard and extended allograft donors. These criteria include deceased after cardiac death, advanced donor age, steatosis, previous malignancy in the donor, hepatitis C virus-positive allografts, human T-cell lymphotropic virus-positive allografts, active infections in the donor, high-risk donors, split liver transplantations, and living donor liver transplantations. Review of the literature can lead each practitioner to incorporate extended criteria donors into their transplant program, thereby individualizing the use of these allografts, increasing the donor pool, and decreasing overall waitlist mortality.