Evaluation criteria and maintenance experience of cardiac death organ donor heart from Chinese first category
10.3760/cma.j.issn.0254-1785.2015.09.008
- VernacularTitle:“中国一类”心脏死亡器官捐献供者心脏的评估标准和维护经验
- Author:
Yuchen PAN
;
Yongbo XUAN
;
Yufei ZHAN
;
Guiqing MO
;
Feng SHI
;
Jie HAN
;
Xu MENG
- Publication Type:Journal Article
- Keywords:
Organ donation;
Evaluation criteria;
Donor maintenance;
Heart transplantation
- From:
Chinese Journal of Organ Transplantation
2015;36(9):540-543
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the evaluation standard of cardiac death organ donation from Chinese first category donor heart application and experience of donor heart function maintenance.Method From Jan.2013 to Jan.2015,donor hearts for heart transplantation were obtained in 18 cases of Chinese first category cardiac death organ donors from 109 cases of organ donation donors through rigorous assessment and effective donor heart function maintenance.The diagnosis of brain death was based on the diagnosis of brain death criteria (adult) by the neurological department of internal medicine,department of neurosurgery,and intensive care unit with brain death qualification.Organ donation work followed the basic principles of voluntary,free,fair,equitable and technical access.Result Eighteen case of heart transplantations were all operated with double lumen venous anastornosis.The cold ischemia time was (125.5+ 18.7) min (61-60 min),and cardiopulmonary bypass time was (130.4+ 12.5) min (99-193 min).In 18 heart transplantations,16 cases survived,and 2 eases died of acute right heart failure.During the follow-u period,the quality of life in the survival recipients was satisfactory.Conclusion Using cardiac death organ donation from Chinese first category donor heart transplantation has achieved good results.The accurate assessment of donor hearts and effective donor heart function maintenance are the key factors to guarantee the success of heart transplantation.
