Controlled donation after circulatory death up to 80 years for liver transplantation: Pushing the limit again.
Adult
Aged
Aged, 80 and over
Cardiovascular System
Death
Female
Follow-Up Studies
Graft Rejection
/ diagnosis
Graft Survival
Humans
Liver Transplantation
/ adverse effects
Male
Middle Aged
Prognosis
Retrospective Studies
Risk Factors
Tissue Donors
/ supply & distribution
Tissue and Organ Procurement
/ statistics & numerical data
Young Adult
clinical research/practice
donors and donation
donors and donation: deceased
donors and donation: donation after brain death (DBD)
donors and donation: donation after circulatory death (DCD)
donors and donation: extended criteria
health services and outcomes research
liver transplantation/hepatology
organ procurement and allocation
organ transplantation in general
Journal
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
ISSN: 1600-6143
Titre abrégé: Am J Transplant
Pays: United States
ID NLM: 100968638
Informations de publication
Date de publication:
01 2020
01 2020
Historique:
received:
17
04
2019
revised:
20
06
2019
accepted:
09
07
2019
pubmed:
23
7
2019
medline:
12
1
2021
entrez:
23
7
2019
Statut:
ppublish
Résumé
Our main objective was to compare liver transplant (LT) results between donation after circulatory death (DCD) and donation after brainstem death (DBD) in our hospital and to analyze, within the DCD group, the influence of age on the results obtained with DCD donors aged >70 years and up to 80 years. All DCD-LTs performed were analyzed prospectively. The results of the DCD group were compared with those of a control group who received a DBD-LT immediately after each DCD-LT. Later, the results obtained within the DCD group were analyzed according to the age of the donors, considering 2 subgroups with a cut-off point at 70 years. Survival results for LT with DCD and super rapid recovery were not inferior to those obtained in a similar group of patients transplanted with DBD livers. However, the cost of DCD was a higher rate of biliary complications, including ischemic cholangiopathy. Donor age was not a negative factor.
Identifiants
pubmed: 31329359
doi: 10.1111/ajt.15537
pii: S1600-6135(22)10055-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
204-212Commentaires et corrections
Type : CommentIn
Type : CommentIn
Informations de copyright
© 2019 The American Society of Transplantation and the American Society of Transplant Surgeons.
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