We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
EISOR Delivery: Regional experience with sharing equipe, equipment & expertise to increase cDCD donor pool in time of pandemic.
- Authors
Circelli, Alessandro; Antonini, Marta Velia; Gamberini, Emiliano; Nanni, Andrea; Benni, Marco; Castioni, Carlo Alberto; Gordini, Giovanni; Maitan, Stefano; Piccioni, Federico; Tarantino, Giuseppe; Prugnoli, Manila; Spiga, Martina; Altini, Mattia; Di Benedetto, Fabrizio; Cescon, Matteo; Solli, Piergiorgio; Catena, Fausto; Ercolani, Giorgio; Russo, Emanuele; Agnoletti, Vanni
- Abstract
Donation after circulatory death (DCD) programs are expanding in Europe, in the attempt to expand donors pool. Even in controlled DCD donors, however, a protracted warm ischemia time occurring in the perimortem period might damage organs, making these unsuitable for transplantation. Implementing a strategy of extracorporeal interval support for organ retrieval (EISOR), a regional reperfusion with normothermic, oxygenated blood provides a physiologic environment allowing extensive assessment of potential grafts, and potentially promotes recovery of native function. Here we report the results of a multi-center retrospective cohort study including 29 Maastricht Category III controlled DCD donors undergoing extracorporeal support in a regional DCD/EISOR Training Center, and in the network of referring In-Training Centers, under the liaison of the regional Transplant Coordination Center during COVID-19 pandemic, between March 2020 and November 2021. The study aims to understand whether a mobile, experienced EISOR team implementing a consistent technique and sharing its equipe, expertise and equipment in a regional network of hospitals, might be effective and efficient in implementing the regional DCD program activity even in a highly stressed healthcare system.
- Subjects
RESEARCH; ARTIFICIAL blood circulation; RETROSPECTIVE studies; DESCRIPTIVE statistics; REPERFUSION; COVID-19 pandemic; TRANSPLANTATION of organs, tissues, etc.; LONGITUDINAL method
- Publication
Perfusion, 2024, Vol 39, Issue 1, p85
- ISSN
0267-6591
- Publication type
Article
- DOI
10.1177/02676591221103535