Dilemmas concerning heart procurement in controlled donation after circulatory death
With an expanding population at risk for heart failure and the resulting increase in patients admitted to the waiting list for heart transplantation, the demand of viable organs exceeds the supply of suitable donor hearts. Use of hearts after circulatory death has reduced this deficit. Two primary t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1225543/full |
| _version_ | 1827889394293407744 |
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| author | S. E. Kaffka genaamd Dengler M. T. Vervoorn M. Brouwer J. de Jonge N. P. van der Kaaij |
| author_facet | S. E. Kaffka genaamd Dengler M. T. Vervoorn M. Brouwer J. de Jonge N. P. van der Kaaij |
| author_sort | S. E. Kaffka genaamd Dengler |
| collection | DOAJ |
| description | With an expanding population at risk for heart failure and the resulting increase in patients admitted to the waiting list for heart transplantation, the demand of viable organs exceeds the supply of suitable donor hearts. Use of hearts after circulatory death has reduced this deficit. Two primary techniques for heart procurement in circulatory death donors have been described: direct procurement and perfusion and thoraco-abdominal normothermic regional perfusion. While the former has been accepted as an option for heart procurement in circulatory death donors, the latter technique has raised some ethical questions in relation to the dead donor rule. In this paper we discuss the current dilemmas regarding these heart procurement protocols in circulatory death donors. |
| first_indexed | 2024-03-12T20:55:04Z |
| format | Article |
| id | doaj.art-5fe1f7c9f8e947b7a333db515770ea99 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-12T20:55:04Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-5fe1f7c9f8e947b7a333db515770ea992023-07-31T17:37:54ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-07-011010.3389/fcvm.2023.12255431225543Dilemmas concerning heart procurement in controlled donation after circulatory deathS. E. Kaffka genaamd Dengler0M. T. Vervoorn1M. Brouwer2J. de Jonge3N. P. van der Kaaij4Department of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Surgery, Erasmus Medical Center Transplant Institute, Rotterdam, NetherlandsDepartment of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht, NetherlandsWith an expanding population at risk for heart failure and the resulting increase in patients admitted to the waiting list for heart transplantation, the demand of viable organs exceeds the supply of suitable donor hearts. Use of hearts after circulatory death has reduced this deficit. Two primary techniques for heart procurement in circulatory death donors have been described: direct procurement and perfusion and thoraco-abdominal normothermic regional perfusion. While the former has been accepted as an option for heart procurement in circulatory death donors, the latter technique has raised some ethical questions in relation to the dead donor rule. In this paper we discuss the current dilemmas regarding these heart procurement protocols in circulatory death donors.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1225543/fullethicscontrolled donation after circulatory death heart transplantationthoracoabdominal normothermic regional perfusiondetermination of deathex-situ heart perfusion |
| spellingShingle | S. E. Kaffka genaamd Dengler M. T. Vervoorn M. Brouwer J. de Jonge N. P. van der Kaaij Dilemmas concerning heart procurement in controlled donation after circulatory death Frontiers in Cardiovascular Medicine ethics controlled donation after circulatory death heart transplantation thoracoabdominal normothermic regional perfusion determination of death ex-situ heart perfusion |
| title | Dilemmas concerning heart procurement in controlled donation after circulatory death |
| title_full | Dilemmas concerning heart procurement in controlled donation after circulatory death |
| title_fullStr | Dilemmas concerning heart procurement in controlled donation after circulatory death |
| title_full_unstemmed | Dilemmas concerning heart procurement in controlled donation after circulatory death |
| title_short | Dilemmas concerning heart procurement in controlled donation after circulatory death |
| title_sort | dilemmas concerning heart procurement in controlled donation after circulatory death |
| topic | ethics controlled donation after circulatory death heart transplantation thoracoabdominal normothermic regional perfusion determination of death ex-situ heart perfusion |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1225543/full |
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