Liver transplantation from an uncontrolled non-heart-beating donor maintained on extracorporeal membrane oxygenation

C. C. Wang; S. H. Wang; C. C. Lin; Y. W. Liu; C. C. Yong; C. H. Yang; K. C. Huang; T. S. Lin; B. Jawan; Y. F. Cheng; H. L. Eng; A. M. Concejero; C. L. Chen

doi:10.1016/j.transproceed.2005.11.013

Liver transplantation from an uncontrolled non-heart-beating donor maintained on extracorporeal membrane oxygenation

C. C. Wang, S. H. Wang, C. C. Lin, Y. W. Liu, C. C. Yong, C. H. Yang, K. C. Huang, T. S. Lin, B. Jawan, Y. F. Cheng, H. L. Eng, A. M. Concejero, C. L. Chen^*

^*Corresponding author for this work

Chang Gung Memorial Hospital

Research output: Contribution to journal › Journal Article › peer-review

34 Scopus citations

Abstract

Liver transplantation, a definitive treatment for end-stage liver disease, has achieved excellent results. However, potential recipients on the waiting list outnumber donors. To expand the donor pool, marginal grafts from older donors, steatotic livers, and non-heart-beating liver donors (NHBD) have been used for transplantation. Reducing the warm ischemia time of NHBD is the critical factor in organs preservation. Liver transplantation using grafts from NHBD have been reported to display a high incidence of primary graft nonfunction and biliary complications. The authors report a liver graft donor who was maintained on extracorporeal membrane oxygenation (ECMO) after successful cardiopulmonary resuscitation. Core body temperature was 5°C. Procurement of the liver using a rapid flush technique was performed 4 hours after instituting ECMO. Graft function recovered fully after transplantation. In conclusion, ECMO may be used to reduce warm ischemia time in liver grafts obtained from uncontrolled NHBD, thereby increasing graft salvage rates.

Original language	English
Pages (from-to)	4331-4333
Number of pages	3
Journal	Transplantation Proceedings
Volume	37
Issue number	10
DOIs	https://doi.org/10.1016/j.transproceed.2005.11.013
State	Published - 12 2005
Externally published	Yes

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10.1016/j.transproceed.2005.11.013

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Wang, C. C., Wang, S. H., Lin, C. C., Liu, Y. W., Yong, C. C., Yang, C. H., Huang, K. C., Lin, T. S., Jawan, B., Cheng, Y. F., Eng, H. L., Concejero, A. M., & Chen, C. L. (2005). Liver transplantation from an uncontrolled non-heart-beating donor maintained on extracorporeal membrane oxygenation. Transplantation Proceedings, 37(10), 4331-4333. https://doi.org/10.1016/j.transproceed.2005.11.013

@article{6539022863e04481bec14acccc52da80,

title = "Liver transplantation from an uncontrolled non-heart-beating donor maintained on extracorporeal membrane oxygenation",

abstract = "Liver transplantation, a definitive treatment for end-stage liver disease, has achieved excellent results. However, potential recipients on the waiting list outnumber donors. To expand the donor pool, marginal grafts from older donors, steatotic livers, and non-heart-beating liver donors (NHBD) have been used for transplantation. Reducing the warm ischemia time of NHBD is the critical factor in organs preservation. Liver transplantation using grafts from NHBD have been reported to display a high incidence of primary graft nonfunction and biliary complications. The authors report a liver graft donor who was maintained on extracorporeal membrane oxygenation (ECMO) after successful cardiopulmonary resuscitation. Core body temperature was 5°C. Procurement of the liver using a rapid flush technique was performed 4 hours after instituting ECMO. Graft function recovered fully after transplantation. In conclusion, ECMO may be used to reduce warm ischemia time in liver grafts obtained from uncontrolled NHBD, thereby increasing graft salvage rates.",

author = "Wang, {C. C.} and Wang, {S. H.} and Lin, {C. C.} and Liu, {Y. W.} and Yong, {C. C.} and Yang, {C. H.} and Huang, {K. C.} and Lin, {T. S.} and B. Jawan and Cheng, {Y. F.} and Eng, {H. L.} and Concejero, {A. M.} and Chen, {C. L.}",

year = "2005",

month = dec,

doi = "10.1016/j.transproceed.2005.11.013",

language = "英语",

volume = "37",

pages = "4331--4333",

journal = "Transplantation Proceedings",

issn = "0041-1345",

publisher = "Elsevier Inc.",

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}

Wang, CC, Wang, SH, Lin, CC, Liu, YW, Yong, CC, Yang, CH, Huang, KC, Lin, TS, Jawan, B, Cheng, YF, Eng, HL, Concejero, AM & Chen, CL 2005, 'Liver transplantation from an uncontrolled non-heart-beating donor maintained on extracorporeal membrane oxygenation', Transplantation Proceedings, vol. 37, no. 10, pp. 4331-4333. https://doi.org/10.1016/j.transproceed.2005.11.013

TY - JOUR

T1 - Liver transplantation from an uncontrolled non-heart-beating donor maintained on extracorporeal membrane oxygenation

AU - Wang, C. C.

AU - Wang, S. H.

AU - Lin, C. C.

AU - Liu, Y. W.

AU - Yong, C. C.

AU - Yang, C. H.

AU - Huang, K. C.

AU - Lin, T. S.

AU - Jawan, B.

AU - Cheng, Y. F.

AU - Eng, H. L.

AU - Concejero, A. M.

AU - Chen, C. L.

PY - 2005/12

Y1 - 2005/12

N2 - Liver transplantation, a definitive treatment for end-stage liver disease, has achieved excellent results. However, potential recipients on the waiting list outnumber donors. To expand the donor pool, marginal grafts from older donors, steatotic livers, and non-heart-beating liver donors (NHBD) have been used for transplantation. Reducing the warm ischemia time of NHBD is the critical factor in organs preservation. Liver transplantation using grafts from NHBD have been reported to display a high incidence of primary graft nonfunction and biliary complications. The authors report a liver graft donor who was maintained on extracorporeal membrane oxygenation (ECMO) after successful cardiopulmonary resuscitation. Core body temperature was 5°C. Procurement of the liver using a rapid flush technique was performed 4 hours after instituting ECMO. Graft function recovered fully after transplantation. In conclusion, ECMO may be used to reduce warm ischemia time in liver grafts obtained from uncontrolled NHBD, thereby increasing graft salvage rates.

AB - Liver transplantation, a definitive treatment for end-stage liver disease, has achieved excellent results. However, potential recipients on the waiting list outnumber donors. To expand the donor pool, marginal grafts from older donors, steatotic livers, and non-heart-beating liver donors (NHBD) have been used for transplantation. Reducing the warm ischemia time of NHBD is the critical factor in organs preservation. Liver transplantation using grafts from NHBD have been reported to display a high incidence of primary graft nonfunction and biliary complications. The authors report a liver graft donor who was maintained on extracorporeal membrane oxygenation (ECMO) after successful cardiopulmonary resuscitation. Core body temperature was 5°C. Procurement of the liver using a rapid flush technique was performed 4 hours after instituting ECMO. Graft function recovered fully after transplantation. In conclusion, ECMO may be used to reduce warm ischemia time in liver grafts obtained from uncontrolled NHBD, thereby increasing graft salvage rates.

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U2 - 10.1016/j.transproceed.2005.11.013

DO - 10.1016/j.transproceed.2005.11.013

M3 - 文章

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AN - SCOPUS:29544443467

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SP - 4331

EP - 4333

JO - Transplantation Proceedings

JF - Transplantation Proceedings

IS - 10

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Liver transplantation from an uncontrolled non-heart-beating donor maintained on extracorporeal membrane oxygenation

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