Screening potential donors for living donor lobar lung transplantation

Schenkel, Felicia A.; Horn, Monica V.; Woo, Mary; Barr, Mark L.; Starnes, Vaughn A.

doi:10.1016/s1053-2498(02)00715-5

Cited by 5 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This selection process can be both time-consuming and difficult. In a review of 28 of our lobar recipients, a total of 220 candidates were screened as potential donors (16 There has been no perioperative or long-term donor mortality after donor lobectomy in our series, or to our knowledge, at other centers. However, one or more perioperative complications occurred in 50 (19.8%) of the donors.…”

Section: Discussionmentioning

confidence: 99%

“…This selection process can be both time-consuming and difficult. In a review of 28 of our lobar recipients, a total of 220 candidates were screened as potential donors (16). Of these, 164 (75%) were not accepted due to either decreased expiratory flows (34%), height (20%), did not want to donate (11%), ABO blood type incompatibilities (11%), social reasons (11%), obesity (8%), or age (5%).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Decade of Living Lobar Lung Transplantation: Perioperative Complications after 253 Donor Lobectomies

Bowdish¹,

Barr²,

Schenkel³

et al. 2004

American Journal of Transplantation

View full text Add to dashboard Cite

Living lobar lung transplantation places two donors at risk for each recipient. We examined the perioperative outcomes associated with the 253 donor lobectomies performed at our institution during our first decade of living lobar lung transplantation. There have been no perioperative or long-term deaths. 80.2% of donors (n = = 203) had no perioperative complications, while fifty (19.8%) had one or more complication. The incidence of intraoperative complications was 3.6%. Complications requiring reoperation occurred in 3.2% of donors. 15.0% of donors had other perioperative complications; the most serious were two donors who developed pulmonary artery thrombosis, while the most common was the need for an additional thoracostomy tube or a thoracostomy tube for ≥14 d for persistent air leaks and/or drainage. Right-sided donors were more likely to have a perioperative complication than left-sided donors (odd ratio 2.02, p = = 0.04), probably secondary to right lower and middle lobe anatomy. This experience has shown donor lobectomy to be associated with a relatively low morbidity and no mortality, and is important if this procedure is to be considered an option at more pulmonary transplant centers, given continued organ shortages and differences in philosophical and ethical acceptance of live organ donors.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Decade of Living Lobar Lung Transplantation: Perioperative Complications after 253 Donor Lobectomies

Bowdish¹,

Barr²,

Schenkel³

et al. 2004

American Journal of Transplantation

View full text Add to dashboard Cite

show abstract

“…The selected donors were then clinically evaluated and submitted to simple X-ray and computed tomography scan of the chest with volume measurement of lower lobes, together with electrocardiogram, Doppler echocardiogram, renal function tests, hepatic function tests and serology, as well as evaluation of pulmonary function using spirometry. (16)(17)(18) In order to analyze the bronchial tree, all potential donors were submitted to fiberoptic bronchoscopy, which, in one case, determined the choice of the side of the lobectomy. Also, for the 10 first transplantations, pulmonary arteriograms were performed in the donors on the side chosen for lobectomy, in order to identify alterations in the origin of the segmental arteries that might cause difficulties during surgery.…”

Section: Introductionmentioning

confidence: 99%