Consensus Conference Report

Author:

Zaroff Jonathan G.1,Rosengard Bruce R.1,Armstrong William F.1,Babcock Wayne D.1,D’Alessandro Anthony1,Dec G. William1,Edwards Niloo M.1,Higgins Robert S.1,Jeevanandum Valluvan1,Kauffman Myron1,Kirklin James K.1,Large Stephen R.1,Marelli Daniel1,Peterson Tammie S.1,Ring W. Steves1,Robbins Robert C.1,Russell Stuart D.1,Taylor David O.1,Van Bakel Adrian1,Wallwork John1,Young James B.1

Affiliation:

1. From UCSF Medical Center (J.G.Z.), San Francisco, Calif; University of Pennsylvania (B.R.R.), Philadelphia; University of Michigan (W.F.A.), Ann Arbor; California Transplant Donor Network (W.D.B.), Oakland, Calif; University of Wisconsin (A.D.A.), Madison; Massachusets General Hospital (G.W.D.), Boston; Columbia University (N.M.E.), New York, NY; Medical College of Virginia (R.S.H.), Richmond; University of Chicago (V.J.), Ill; United Network for Organ Sharing (M.K.), Richmond, Va; University of...

Abstract

The shortage of available donor hearts continues to limit cardiac transplantation. For this reason, strict criteria have limited the number of patients placed on the US waiting list to ≈6000 to 8000 per year. Because the number of available donor hearts has not increased beyond ≈2500 per year, the transplant waiting list mortality rate remains substantial. Suboptimal and variable utilization of donor hearts has compounded the problem in the United States. In 1999, the average donor yield from 55 US regions was 39%, ranging from 19% to 62%. This report provides the detailed cardiac recommendations from the conference on “Maximizing Use of Organs Recovered From the Cadaver Donor” held March 28 to 29, 2001, in Crystal City, Va. The specific objective of the report is to provide recommendations to improve the evaluation and successful utilization of potential cardiac donors. The report describes the accuracy of current techniques such as echocardiography in the assessment of donor heart function before recovery and the impact of these data on donor yield. The rationale for and specific details of a donor-management pathway that uses pulmonary artery catheterization and hormonal resuscitation are provided. Administrative recommendations such as enhanced communication strategies among transplant centers and organ-procurement organizations, financial incentives for organ recovery, and expansion of donor database fields for research are also described.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference32 articles.

1. Strategies for Making More Organs Available for Transplantation

2. 1999 Annual Report of the U. S. Scientific Registry of Transplant Recipients and the Organ Procurement and Transplantation Network: Transplant Data 1989–1998. Richmond Va: HHS/GRSA/OSP/DOT and United Network for Organ Sharing; 1999.

3. Minimum Procurement Standards for an Organ Procurement Organization (OPO). Richmond Va: United Network for Organ Sharing; 1998.

4. Cardiovascular management of a potential heart donor

Cited by 393 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3