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Dilemmas concerning heart procurement in controlled donation after circulatory death

Dilemmas concerning heart procurement in controlled donation after circulatory death

Authors :
S. E. Kaffka genaamd Dengler
M. T. Vervoorn
M. Brouwer
J. de Jonge
N. P. van der Kaaij
Source :
Frontiers in Cardiovascular Medicine, Vol 10 (2023)
Publication Year :
2023
Publisher :
Frontiers Media S.A., 2023.

Abstract

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.

Details

Language :
English
ISSN :
2297055X
Volume :
10
Database :
Directory of Open Access Journals
Journal :
Frontiers in Cardiovascular Medicine
Publication Type :
Academic Journal
Accession number :
edsdoj.5fe1f7c9f8e947b7a333db515770ea99
Document Type :
article
Full Text :
https://doi.org/10.3389/fcvm.2023.1225543