Articles tagged "Donors, marginal"

2019 American Transplant Congress
OPO Aggressiveness Index: A Novel OPO Performance Metric That Incentivizes Pursuit of Marginal Deceased Donor Candidates
L. Liyanage, Y. Yu, K. Jackson, J. Garonzik-Wang, D. Segev, A. Massie
Johns Hopkins, Baltimore, MD
*Purpose: Of 2.5M deaths in the US every year, only 10,000 are recovered for transplantation; recovery of organs from older donors is rare although similar…
2019 American Transplant Congress
Investigating Deceased Donor Kidney Discard Trend – An Opportunity To Expand The Donor Pool
J. A. Shah¹, D. P. Borle¹, K. Koontz², W. Irish¹, K. V. Ravindra¹
¹Abdominal Transplant Surgery, Duke University Medical Center, Durham, NC, ²Carolina Donor Services, Durham, NC
*Purpose: As the number of patients awaiting kidney transplantation increases from year to year, centers must maximize efforts to transplant kidneys procured. One way of…
2019 American Transplant Congress
The Association of Kidney Transplant Center Volume with 3-Year Outcomes
E. M. Sonnenberg¹, J. B. Cohen², J. Y. Hsu³, V. S. Potluri², M. H. Levine¹, P. L. Abt¹, P. P. Reese²
¹Surgery, University of Pennsylvania, Philadelphia, PA, ²Renal Division, University of Pennsylvania, Philadelphia, PA, ³Biostatistics, University of Pennsylvania, Philadelphia, PA
*Purpose: To assess if a center volume-outcome relationship exists for contemporary kidney transplantation, specifically in increased-risk scenarios including: diabetic recipients, elderly recipients (age>65) or recipients…
2019 American Transplant Congress
Donor – Recipient Size Mismatch Has No Impact on Outcomes after Deceased Donor Whole Liver Transplantation: A Single Center Analysis
A. Cabrales¹, R. Mangus¹, B. Ekser¹, L. Timsina¹, J. Fridell¹, P. Mihaylov¹, T. Nikumbh¹, M. Ghabril², M. Lacerda², C. Kubal¹
¹Department of Surgery, Indiana University Hospital, Indianapolis, IN, ²Division of Digestive & Liver Disorders, Indiana University Hospital, Indianapolis, IN
*Purpose: Assessment of donor size by demographic variables is an important part of deceased donor evaluation prior to liver transplantation (LT). Lack of liver volumetric…
2019 American Transplant Congress
The First Human Organ Transported by Drone and Steps Forward to Large Scale Organ Drone Use in the USA
J. R. Scalea¹, M. Scassero², N. Wereley³
¹Surgery, University of Maryland, Baltimore, MD, ²UAS Test Site, University of Maryland, California, MD, ³Aerospace Engineering, University of Maryland, College Park, MD
*Purpose: Organ transportation has yet to be substantially innovated. Cold ischemia times (CIT) for kidneys are too long, and prolongation of CIT leads to delayed…
2019 American Transplant Congress
Donors and Drugs: How Often Do They Mix? Utilization of Donors Based on Toxicology Findings
J. T. Lansinger¹, A. Long¹, C. Barreiro², J. M. Herre², H. Copeland³, W. Old², G. Zeevi², C. D. Kemp², J. M. Philpott², K. Stelling², A. Ingemi², B. H. Smith², P. Bourassa², D. A. Baran²
¹Eastern Virginia Medical School, Norfolk, VA, ²Sentara Heart Hospital, Norfolk, VA, ³Division of Cardiothoracic Surgery, University of Mississippi Medical Center, Jackson, MS
*Purpose: Despite an increasing number of patients waiting for heart transplantation, the growth of transplant volume has risen slowly. The opioid crisis has resulted in…
2019 American Transplant Congress
Donor And Recipient Age Matching Versus Mismatching In Expanded Criteria Donor Kidney Transplants: Does It Make A Difference?
D. Harriman, V. Gurram, A. Farney, J. Rogers, G. Orlando, C. Jay, A. Reeves-Daniel, A. Mena-Gutierrez, M. Gautreaux, W. Doares, S. Kaczmorski, R. Stratta
Wake Forest Baptist Medical Center, Winston-Salem, NC
*Purpose: The critical shortage of donor organs challenges the transplant community to optimize the use of organs from all consented deceased donors (DD). The purpose…
2019 American Transplant Congress
Primary Nonfunction after Kidney Transplantation is Associated with Elevated Donor Urinary Biomarkers
S. Mohan, P. Reese, I. Hall, M. Doshi, Y. Jia, H. T. Philbrook, E. Akalin, J. Bromberg, M. Harhay, S. Mansour, T. Muthukumar, B. Schröppel, P. Singh, F. Weng, C. Parikh
for the DDS Consortium, Baltimore, MD
*Purpose: Primary nonfunction (PNF) defined as dialysis dependent for 3 months post-transplant, is a rare but catastrophic outcome for recipients. PNF also negatively impacts transplant…
2019 American Transplant Congress
Risk Factors for Graft Loss Vary with Recipient MELD Score in Liver Transplantation
J. A. Steggerda¹, M. B. Bloom¹, T. Todo², T. V. Brennan², N. N. Nissen², A. S. Klein², I. K. Kim²
¹Surgery, Cedars-Sinai Medical Center, Los Angeles, Los Angeles, CA, ²Transplant Surgery, Cedars-Sinai Medical Center, Los Angeles, Los Angeles, CA
*Purpose: Risk factors for allograft loss in liver transplantation have previously been described. Less is known how these vary and interact amongst recipients with different…
2019 American Transplant Congress
Ex Vivo Assessment of Marginal Human Kidneys Using Computed Tomography
M. K. Harris¹, J. R. DiRito², H. Liu³, N. Boutagy³, C. Liu⁴, S. Hosgood², D. Mulligan¹, M. L. Nicholson², A. Sinusas³, D. Haakinson¹, G. T. Tietjen¹
¹Surgery, Yale School of Medicine, New Haven, CT, ²Surgery, University of Cambridge, Cambridge, United Kingdom, ³Yale Translational Research Imaging Center, New Haven, CT, ⁴Radiology, Yale School of Medicine, New Haven, CT
*Purpose: Thousands of ‘marginal’ organs are discarded each year despite a severe organ shortage. This has motivated development of new technologies, such as ex vivo…