Organ Procurement in the Brain Dead Donors Without In Vivo Cold Perfusion: A Novel Technique.

ABSTRACT:

Introduction

We describe our technique of ex vivo organ perfusion and procurement in donation after deceased brain death (DBD) donors.

Material and methods

This technique comprises warm dissection of liver, kidneys, and heart, in hemodynamically stable DBD donors and perfusing them ex vivo. The cardiac and abdominal dissection can take place simultaneously. As a precaution, the iliac arteries and the abdominal aorta are dissected and kept ready for rapid cannulation and perfusion, should the donor become unstable at any stage.The liver dissection is in principle similar to living donor hepatectomy, where portal dissection is combined with supra and infrahepatic caval dissection to completely mobilize liver to allow it to be removed and perfused ex vivo. The renal dissection

SUBMITTER: Rastogi AN 

PROVIDER: S-EPMC7527850 | biostudies-literature | 2020 Sep-Oct

REPOSITORIES: biostudies-literature