Strategy in combined pancreas and kidney transplantation from non–heart-beating cadaver donors

Tojimbara, Tamotsu; Teraoka, Satoshi; Babazono, Tetsuya; Sato, Shotaro; Nakamura, Michio; Kimikawa, Masaaki; Nakagawa, Yuki; Nakajima, Ichiro; Takahashi, Osamu; Fuchinoue, S; Iwamoto, Yasuhiko; Agishi, T

doi:10.1016/s0041-1345(99)00248-1

Cited by 8 publications

(8 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…39 Nine of the 18 studies reported the cause of donor death. 7,[19][20][21]24,25,33,35,36 Etiologies included cerebral trauma, motor vehicle accidents, intracranial haemorrhage, and cerebral anoxia. Three studies reported that anoxic brain injury was more common in DCD donors relative to DBD donors.…”

Section: Dcd Donor Selectionmentioning

confidence: 99%

“…41 Of the 18 studies identified by this systematic review 4 reported en bloc removal of the pancreas with the liver 9,20,21,37 and 2 reported separation in situ. 25,28 Other studies did not report the detail of the method of retrieval. We have insufficient evidence to comment on how the choice of surgical technique influences ischemic time because many studies did not report on the time between perfusion and placement of the pancreas into iced saline slush on the back table.…”

Section: Organ Retrievalmentioning

confidence: 99%

See 1 more Smart Citation

Outcomes From Pancreatic Transplantation in Donation After Cardiac Death

Shahrestani¹,

Webster

Lam

et al. 2017

Transplantation

View full text Add to dashboard Cite

show abstract

Section: Dcd Donor Selectionmentioning

confidence: 99%

Section: Organ Retrievalmentioning

confidence: 99%

Outcomes From Pancreatic Transplantation in Donation After Cardiac Death

Shahrestani¹,

Webster

Lam

et al. 2017

Transplantation

View full text Add to dashboard Cite

show abstract

“…In Table 1, the twelve articles included in our systematic review are listed: ten articles were related to kidney transplantation [6][7][8][9][10][11][12][13][14][15]; one to islet transplantation [16]; and another one to pancreas transplantation [17]. All twelve were retrospective studies.…”

Section: Resultsmentioning

confidence: 99%

“…WLST was conducted in 100% of donors [9], 25% [10], 27% [17], in three studies where organ procurements were performed prior to 2004. In more recent studies, WLST seems not to be performed.…”

Section: Resultsmentioning

confidence: 99%

Is Donation after Circulatory Determination of Death in Japan Uncontrolled or Controlled?

Kin,

Noguchi,

Kawaguchi

2024

OBM Transplant

View full text Add to dashboard Cite

Using donation after circulatory determination of death (DCD) donors has been shown to be a potential means of increasing the number of donors for organ transplantation. The purpose of this study was to examine the published practice of DCD in Japan to properly define their practice as controlled or uncontrolled. Through the Web of Science database, we systematically searched articles describing uncontrolled DCD, controlled DCD or Maastricht classification. A total of 12 articles (ten articles related to kidney, one to pancreas, another to islet transplantation), which were published between 1999 and 2023 from Japanese institutes, were eligible for our study. Systematic review revealed that most DCD in Japan occurs when a terminally ill patient undergoes an expected cardiac arrest without rapid discontinuation from a ventilator, and in some cases with premortem interventions such as cannulation to the femoral vessels. Surprisingly, these DCD donors in Japan have been categorized as uncontrolled DCD. This categorization confuses the donation and transplantation community globally because the international consensus is that uncontrolled DCD occurs after an unexpected cardiac arrest. Further clear definition of terminology would be required within Japan as well as other countries practicing uncontrolled DCD.

show abstract

“…No entanto, parece que a utilização destes doadores pode gerar resultado funcional comparável a doadores ideais de pâncreas. [42][43][44] Estes doadores também podem ser utilizados para transplante de ilhotas de Langerhans. 45 Deve-se evitar o uso de doadores com tempo de isquemia quente maior que 30 minutos e que tenham outros fatores de risco para disfunção do enxerto.…”

Section: Uso De Doadores Com Coração Parado ("Non-heart Beating Donors" "Donation After Cardiac Death")unclassified

Otimização Do Uso Dos Enxertos Pancreáticos No Brasil

Salvalaggio

Perosa

Figueiro

2005

bjt

View full text Add to dashboard Cite

No Brasil e no mundo usa-se de forma mais adequada o número de doadores disponíveis para receptores de rim e de fígado do que para receptores de pâncreas ou ilhotas de Langerhans. Esta revisão tem como objetivo demonstrar resultados atuais com o uso de doadores não ideais de pâncreas, para que se possa aumentar o aproveitamento deste órgão para transplante no Brasil. Com uso de critério mais abrangente para aceitação de doadores, podem-se incluir para doação do pâncreas: doadores com exames laboratoriais alterados, doadores com anormalidades vasculares, doadores pediátricos, doadores “idosos”, doadores obesos, doadores com coração parado, doadores que recebem drogas vasoativas e doadores com malformação pancreático-biliar congênita. Não se devem descartar potenciais doadores de pâncreas baseando-se somente na idade, peso ou com base em exames laboratoriais e uso de drogas vasoativas no doador. Mais importante, a inspeção e palpação do órgão por um cirurgião experiente será o fator determinante final do possível uso do pâncreas para transplante de pâncreas ou de ilhotas de Langerhans. Anormalidades vasculares, assim como a doação do fígado e do intestino delgado não devem contra- indicar a doação do pâncreas. Presença de gordura, fibrose e aterosclerose são as características que devem ser levadas em consideração quando do uso de doadores não ideais para transplante de pâncreas. Órgãos que não possam ser utilizados para transplante de pâncreas devem ser considerados para isolamento de ilhotas de Langerhans.

show abstract

Strategy in combined pancreas and kidney transplantation from non–heart-beating cadaver donors

Cited by 8 publications

References 2 publications

Outcomes From Pancreatic Transplantation in Donation After Cardiac Death

Outcomes From Pancreatic Transplantation in Donation After Cardiac Death

Is Donation after Circulatory Determination of Death in Japan Uncontrolled or Controlled?

Otimização Do Uso Dos Enxertos Pancreáticos No Brasil

Contact Info

Product

Resources

About