Marginal donors

Palacios, J.M

doi:10.1016/s0041-1345(99)00628-4

Cited by 9 publications

(4 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most recently, elderly and even marginal donors have been accepted for organ procurement. 1 In elderly patients, preexisting occlusive atherosclerotic disease of the infrarenal aorta poses specific problems, and several authors have addressed this by performing aortic cannulation of the thoracic aorta. Fukozawa et al 4 recommended exposing the descending aorta by retracting the left lung medially.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Alternative Technique to Cannulate the Descending Aorta for Abdominal Organ Procurement in a Hemodynamically Unstable Patient

et al. 2001

View full text Add to dashboard Cite

During organ procurement, maintaining adequate organ perfusion is crucial. Hemodynamic instability may compromise organ viability and demand quick intervention, sometimes rapid, early cannulation of vessels, so that organs may be salvaged. In this case report of an unstable donor with large retroperitoneal hematoma, a surgical approach is presented that has previously not been described. The technique facilitated hemodynamic stability while allowing rapid cannulation of the retrocardiac descending aorta.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Donor demographics are changing, and suboptimal and even marginal donors are being accepted for organ procurement. 1 The final decision about organ retrieval has to be made in the operating room, where the surgical teams may face unexpected difficulties and challenges.…”

mentioning

confidence: 99%

Alternative Technique to Cannulate the Descending Aorta for Abdominal Organ Procurement in a Hemodynamically Unstable Patient

et al. 2001

View full text Add to dashboard Cite

show abstract

“…As per the Organ Procurement and Transplantation Network (OPTN)/United Network for Organ Sharing (UNOS), in September 2006, there are more than 90,000 recipients on the waitlist for solid organs. This has resulted in expanded donor criteria to include older donors and donors with mild disease (Palacios 1999;Alexander and Vaughn 1991;. In spite of implementation of more stringent criteria for donor selection, there continues to be some risk of donor-derived malignancy.…”

Section: Introductionmentioning

confidence: 99%

Donor derived malignancy following transplantation: a review

Gandhi

Strong

2007

Cell Tissue Banking

View full text Add to dashboard Cite

Organ and tissue transplant is now the treatment of choice for many end stage diseases. In the recent years, there has been an increasing demand for organs but not a similar increase in the supply leading to a severe shortage of organs for transplant resulted in increasing wait times for recipients. This has resulted in expanded donor criteria to include older donors and donors with mild disease. In spite of implementation of more stringent criteria for donor selection, there continues to be some risk of donor derived malignancy. Malignancy after transplantation can occur in three different ways: (a) de-novo occurrence, (b) recurrence of malignancy, and (c) donor-related malignancy. Donor related malignancy can be either due to direct transmission of tumor or due to tumor arising in cells of donor origin. We will review donor related malignancies following solid organ transplantation and hematopoeitic progenitor cell transplantation. Further, we will briefly review the methods for detection and management of these donor related malignancies.

show abstract

“…U ntil recently, brain-dead persons of advanced age or who had arteriosclerotic disease were not considered suitable organ donors. With the current critical national shortage of livers available for transplantation, [1][2][3] many older donors are now being considered. The term "marginal donor" is sometimes used when re ferring to these patients.…”

mentioning

confidence: 99%

A Simple Technique for Aortic Cannulation in Organ Donors with Advanced Aortic Disease

et al. 2002

View full text Add to dashboard Cite

Cannulation of the abdominal aorta in organ donors with advanced arteriosclerotic disease or extensive trauma may be problematic owing to difficulty in securing a watertight tie around the diseased aorta, the danger of creating a false passageway in the aorta, and the risk of breaking off plaque particles that can advance into the arteries of donated organs. Cannulation problems can be avoided in these challenging donors by using a simplified technique for cannulation of the thoracic aorta in which a Foley catheter is passed down around the aortic arch, the balloon is inflated, and cool flushing is initiated.

show abstract

Marginal donors

Cited by 9 publications

References 25 publications

Alternative Technique to Cannulate the Descending Aorta for Abdominal Organ Procurement in a Hemodynamically Unstable Patient

Alternative Technique to Cannulate the Descending Aorta for Abdominal Organ Procurement in a Hemodynamically Unstable Patient

Donor derived malignancy following transplantation: a review

A Simple Technique for Aortic Cannulation in Organ Donors with Advanced Aortic Disease

Contact Info

Product

Resources

About