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Contents

Kidney transplantation from a donor following cardiac death supported with extracorporeal membrane oxygenation / Jong Hoon Lee ; Sung Yeon Hong ; Chang-Kwon Oh ; You Sun Hong ; Hyunee Yim 1

[요약] 1

INTRODUCTION 1

MATERIALS AND METHODS 2

Study design 2

Donor management before and during organ preservation 2

Kidney allocation 2

Immunosuppression 2

Transplantation surgery 2

Ethics Statements 2

RESULTS 3

Cardiac death and organ recovery from the donor 3

Recipient selection 3

Graft kidney function after the transplantation 3

DISCUSSION 3

REFERENCES 4

초록보기

To expand the donor pool, organ donation after cardiac death (DCD) has emerged. However,kidneys from DCD donors have a period of long warm ischemia between cardiac arrest and the harvesting of the organs. Recently, we used extracorporeal membrane oxygenation (ECMO) to minimize ischemic injury during ´no touch´ periods in a Maastricht category II DCD donor and performed two successful kidney transplantations. The kidneys were procured from a 49-yr-old male donor. The warm ischemia time was 31 min, and the time of maintained circulation using ECMO was 7 hr 55 min. The cold ischemia time was 9 hr 15 min. The kidneys were transplanted into two recipients and functioned immediately after reperfusion. The grafts showed excellent function at one and three months posttransplantation;serum creatinine (SCr) levels were 1.0 mg/dL and 0.8 mg/dL and the estimated glomerular filtration rates (eGFR) were 63 mL/min/1.73 m2 and 78 mL/min/1.73 m2in the first recipient, and SCr levels were 1.1 mg/dL and 1.0 mg/dL and eGFR were 56 mL/min/1.73 m2 and 64 mL/min/1.73 m2 in the second recipient. In conclusion, it is suggested that kidney transplantation from a category II DCD donor assisted by ECMO is a reasonable modality for expanding donor pool.

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Kidney transplantation from a donor following cardiac death supported with extracorporeal membrane oxygenation Jong Hoon Lee, Sung Yeon Hong, Chang-Kwon Oh, You Sun Hong, Hyunee Yim pp.115-119

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참고문헌 (22건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Korean Network for Organ Sharing (KONOS). Annual data report. Available at http://www.konos.go.kr/jsp/front/m05/sub_01.jsp. [accessed on July 16, 2011]. 미소장
2 Current situation of donation after circulatory death in European countries 네이버 미소장
3 Kidney Donation after Cardiac Death in Korea 네이버 미소장
4 Liu Z, Zhu B, Yun P, Wang P, Wang X, Xu H. Are we ready to utilize nonheart- beating donors for clinical allotransplantation in China? Transplant Proc 2008; 40: 1018-20. 미소장
5 Trends in deceased organ donation and utilization in Korea: 2000-2009. 소장
6 Kidney transplantation from organ donors following cardiopulmonary death using extracorporeal membrane oxygenation support. 네이버 미소장
7 Extracorporeal support for organ donation after cardiac death effectively expands the donor pool. 네이버 미소장
8 Critical care organ support: a focus on extracorporeal systems. 네이버 미소장
9 EXTRACORPOREAL SUPPORT OF THE NON-HEART-BEATING ORGAN DONOR 네이버 미소장
10 Using Standardized Serum Creatinine Values in the Modification of Diet in Renal Disease Study Equation for Estimating Glomerular Filtration Rate 네이버 미소장
11 Non–Heart-Beating Donor Kidneys in The Netherlands: Allocation and Outcome of Transplantation 네이버 미소장
12 ASTS recommended practice guidelines for controlled donation after cardiac death organ procurement and transplantation. 네이버 미소장
13 Categories of non-heart-beating donors. 네이버 미소장
14 In situ preservation of kidneys from non-heart-beating donors--a proposal for a standardized protocol. 네이버 미소장
15 Preservation techniques for donors after cardiac death kidneys. 네이버 미소장
16 In situ preservation of kidneys from donors after cardiac death: results and complications. 네이버 미소장
17 Extracorporeal circulation (ECMO) in neonatal respiratory failure. 네이버 미소장
18 Normothermic kidney preservation. 네이버 미소장
19 Normothermic recirculation reduces primary graft dysfunction of kidneys obtained from non‐heart‐beating donors 네이버 미소장
20 Renal transplantation from non-heart beating donors: a promising alternative to enlarge the donor pool. 네이버 미소장
21 Victims of Cardiac Arrest Occurring Outside the Hospital: A Source of Transplantable Kidneys 네이버 미소장
22 The Use of Non-Heart Beating Donors to Expand the Donor Pool 소장

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