A review of particular interest for procurement (retrieval) of hearts after brain injury, especially subarachnoid bleeding, the commonest cause of death in DBD in our practice. The authors discuss, amongst other things, the early stress micro-infarcts that may limit the performance of the donated heart, especally in female donors with sub a
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Transplant
June 25, 2016
A large retrospective study of the UNOS database advances that elevated troponin I in selected cardiac donors is NOT associated with various adverse events. The conclusion is likely to stimulate heated discussions.
February 20, 2016
A succinct editorial from a British academic transplant surgeon. It discusses the need for stratifying the utilization of donor lungs based on recent and previous retrospective papers from North American and European databases. Professor Dark also briefly debates the needs for research on assessing and optimizing the organs.
November 5, 2015
This is a very intersting case review in which the authors describe a successful heart transplant from a 37 year old donor on VV ECMO to a 62 year old female recipeint. The authors postulate that this successful outcome may expand the available donor pool for heart transplantation.
March 3, 2015
The impact of the new Lung Allocation Score (implemented in 2005) on outcomes of single and double lung transplants for IPF and COPD was explored. After controlling for confounders with propensity score techniques, DLT was associated with better graft survival for IPF but there was no difference in graft survival between DLT and SLT for COPD patient
March 2, 2015
This study evaluated outcomes of synchronous or delayed kidney Tx in patients with lung or heart-lung transplant. Delayed living-donor kidney Tx was associated with favorable outcomes. Synchronous cadaver kidney transplant at the time of heart-lung or lung transplant was clinically challenging.
January 26, 2015
In this retrospective study of 173 lung transplants performed at Loyola University, investigators found a correlation between heavy alcohol use in lung transplant donors and risk of developing severe primary graft dysfunction. Those recipients had an 8.7 times higher risk than patients who received lungs from donors who did not drink.
January 24, 2015
The Columbia group performed a retrospective analysis of 46 balloon atrial septostomies in 32 patients with severe and medically refractory PAH from 2002-2013. There were no procedural deaths or complications. BAS was safely used as a bridge to lung transplantation or to alleviate right heart failure symptoms and/or syncope.
April 14, 2014
There are few instruments to assess patient-centered outcomes after lung transplant. The authors developed and validated a shortened version of the valued life activities disability scale for this population. The scale was devised using 140 lung transplant participants and was validated in 84 patients before and after transplant. The instrument ta