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Deceased donor organ procurement injuries in the United States

World Journal of Transplantation 2016年第2期6卷 423-428页

作者： Tim E Taber nikole a neidlinger Muhammad A Mujtaba Elling E Eidbo Roxane L Cauwels Elizabeth M Hannan Jennifer R Miller Anil S Paramesh Indiana Donor Network Donor Network West Department of Nephrology University of Texas Medical Branch Association of Organ Procurement Organi- zations Tulane Transplant Institute Louisiana Organ Procurement Association

AIM: To determine the incidence of surgical injury during deceased donor organ procurements. METHODS: Organ damage was classified into three tiers, from 1-3, with the latter rendering the organ nontransplantable. For 12 consecutive months starting in January of 2014, 36 of 58 organ procurement organization's(OPO)'s prospectively submitted quality data regarding organ damage(as reported by the transplanting surgeon and confirmed by the OPO medical director) seen on the procured ***: These 36 OPOs recovered 5401 of the nations' s 8504 deceased donors for calendar year 2014.A total of 19043 organs procured were prospectively analyzed. Of this total, 59 organs sustained damage making them non-transplantable(0 intestines; 4 pancreata; 5 lungs; 6 livers; 43 kidneys). The class 3 damage was spread over 22(of 36) reporting OPO'***: While damage to the procured organ is rare with organ loss being approximately 0.3% of procured organs, loss of potential transplantable organs does occur during procurement.

关键词： Organ procurement Deceased donations Organ procurement organization Organ injury Organ transplantation

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