Controlled DCD lung transplantation: Circumventing imagined and real barriers-time for an international taskforce?

Aleem Siddique; Marian Urban; Heather Strah; Kyle Herber; Lee Morrow; Gabriel Loor; Dirk Van Raemdonck; John Dark; Gregory Snell

doi:10.1016/j.healun.2022.06.007

Controlled DCD lung transplantation: Circumventing imagined and real barriers-time for an international taskforce?

J Heart Lung Transplant. 2022 Sep;41(9):1198-1203. doi: 10.1016/j.healun.2022.06.007. Epub 2022 Jun 13.

Authors

Aleem Siddique¹, Marian Urban², Heather Strah³, Kyle Herber⁴, Lee Morrow⁵, Gabriel Loor⁶, Dirk Van Raemdonck⁷, John Dark⁸, Gregory Snell⁹

Affiliations

¹ Division of Cardiothoracic Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska. Electronic address: [email protected].
² Division of Cardiothoracic Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska.
³ Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska.
⁴ Live On Nebraska, Omaha, Nebraska.
⁵ Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, Creighton University, Omaha, Nebraska.
⁶ Department of Surgery, Baylor College of Medicine, Houston, Texas.
⁷ Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.
⁸ Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle, UK.
⁹ Lung Transplant Service, Alfred Hospital, Melbourne, Australia.

PMID: 35835677
DOI: 10.1016/j.healun.2022.06.007

Abstract

Controlled donation after circulatory death (DCD) has the potential to substantially increase the number of lung transplants thus offsetting some of the imbalance between need and organ availability. We examine the potential benefits associated with increased DCD utilization as well as the perceived barriers to the expansion of DCD. Solutions are offered as a means to expand DCD utilization across centers and nations.

Keywords: donation after circulatory death; lung transplantation; organ recovery; outcomes; transplant metrics.

Publication types

Editorial
Research Support, Non-U.S. Gov't

MeSH terms

Death
Graft Survival
Humans
Lung Transplantation*
Tissue Donors
Tissue and Organ Procurement*