The landscape of vascularized composite allograft donation in the United States.


Journal

Current opinion in organ transplantation
ISSN: 1531-7013
Titre abrégé: Curr Opin Organ Transplant
Pays: United States
ID NLM: 9717388

Informations de publication

Date de publication:
12 2019
Historique:
pubmed: 3 10 2019
medline: 30 4 2020
entrez: 3 10 2019
Statut: ppublish

Résumé

Vascularized composite allograft (VCA) donation and transplantation has now demonstrated feasibility and impact to the lives of patients suffering from devastating and traumatic injury. This review summarizes the current landscape of VCA donation in the United States. VCA donations are nonlife-saving allografts, for nonlife-saving transplants - and therefore, conservative donor selection focused on the optimization of donors for the lowest risk to transplant recipients is paramount. VCA donors in the United States are a demographically and clinically diverse group that largely reflects the characteristics of the VCA candidates waiting for transplants. Public opinion about VCA donation is generally supportive, but has lower support for VCA transplants than for solid organ transplants. As an emerging area of transplantation, VCA donation is evolving in the United States with growing interest by the public, and those suffering from catastrophic injury for which reconstructive transplantation may offer excellent outcomes and a high quality of life.

Identifiants

pubmed: 31577595
doi: 10.1097/MOT.0000000000000703
pmc: PMC7571463
mid: NIHMS1601664
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, U.S. Gov't, Non-P.H.S. Research Support, U.S. Gov't, P.H.S. Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

699-704

Subventions

Organisme : NIDDK NIH HHS
ID : K01 DK114388
Pays : United States

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Auteurs

Macey L Henderson (ML)

Department of Surgery, Division of Transplantation, Johns Hopkins School of Medicine.
Department of Acute and Chronic Care, Johns Hopkins University School of Nursing, Baltimore, Maryland, USA.

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Classifications MeSH