Articles tagged "Donors, marginal"

2019 American Transplant Congress
Defatting Steatotic Rat Livers during Ex Situ Normothermic Perfusion Improves Lactate Clearance and Bile Quality
S. Raigani¹, C. Carroll², S. Cronin², C. Pendexter², I. Rosales³, M. Yarmush¹, K. Uygun¹, H. Yeh¹
¹Transplant Surgery, Massachusetts General Hospital, Boston, MA, ²Center for Engineering in Medicine, Shriners Childrens Hospital, Boston, MA, ³Pathology, Massachusetts General Hospital, Boston, MA
*Purpose: Donor livers with moderate-to-severe steatosis are not generally used for transplantation because of poor post-transplant function. Ex situ normothermic machine perfusion (ENMP) provides an…
2019 American Transplant Congress
Should Kidney Retransplants Be Performed From Either Extended Criteria Donor Or Donation After Cardio Circulatory Death Donors?
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: Donation after brain death expanded criteria donors (ECD) and donation after cardiocirculatory death (DCD) standard criteria donors (DCD/SCD) increase the donor organ pool but…
2019 American Transplant Congress
Impact of Donor Acute Kidney Injury on the Outcome of Graft Delayed Graft Function
C. Jadlowiec, A. Kumar, A. Srinivasan, A. Mathur, M. Smith, J. Huskey, A. Moss, H. Khamash, R. L. Heilman, K. S. Reddy
Mayo Clinic, Phoenix, AZ
*Purpose: Kidneys from deceased donors with acute kidney injury (AKI) have a higher risk of delayed graft function (DGF). The aim of this study was…
2019 American Transplant Congress
Finding Opportunities for Increased Donation after Circulatory Death Liver Utilization: Results of an American Society of Transplant Surgeons/Association of Organ Procurement Organizations Survey
M. Hobeika¹, R. Glazner², D. Foley¹, S. Hanish¹, C. Quintini¹, E. Eidbo², D. Axelrod¹
¹American Society of Transplant Surgeons DCD Task Force, Arlington, VA, ²Association of Organ Procurement Organizations, Vienna, VA
*Purpose: Liver allografts from donation after circulatory death (DCD) donors remain underutilized in the U.S. Improved utilization requires expanded potential donor identification by organ procurement…
2019 American Transplant Congress
Organ Vigilance in Germany: Malignancy Transmission from Organ Donor to Recipient
K. Moench, A. Rahmel, A. P. Barreiros
German Foundation for Organtransplantation, Frankfurt, Germany
*Purpose: Vigilance monitoring after organ transplantation includes Serious Adverse Events (SAE) and Serious Adverse Reactions (SAR). SAE describe findings in the donor after transplant that…
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…