Over the past several years, the selection criteria for marginal donor lungs have been extended. However, brain-dead patients with implanted mechanical circulatory support systems have not yet been considered as potential organ donors for lung transplantation. Our report presents the first successful procurement and transplantation of donor lungs from a patient supported by a left ventricular a...

CONTEXT Families' refusal to consent to solid organ donation is a major contributor to the organ deficit in the United States. Previous research has identified organ procurement coordinators as best able to obtain consent from families; however, few studies have examined the effects of coordinator training programs on consent rates. OBJECTIVE To test the effects of the Communicating Effective...

The processes leading to donor identification, consent, organ procurement, and allocation continue to dominate debates and efforts in the field of transplantation. A considerable shortage of donors remains while the number of patients needing organ transplantation increases. This article reviews the main trends in organ donation practices and procurement patterns from both deceased and living s...

Since publication of the Centers for Medicare and Medicaid Services (CMS) Conditions of Participation Final Rule in 2007, there has been dual regulation of transplant centers by the Organ Procurement and Transplantation Network (OPTN) contractor the United Network for Organ Sharing (UNOS) and CMS. Herein, we summarize the environment leading to the development of the present regulatory framewor...

DESPITE RECENT improvements in operative techniques,I.2 immunosuppression,I.3.4 and organ procurement,5-7 failure of a hepatic allograft remains an important risk to liver recipients. In the absence of any effective method of extracorporeal support, the only alternativ(1to death for these patients is retransplantation (RETX). The need for RETX can occur in one of three settings: emergent, acute...

As cardiac transplantation has evolved into a viable therapeutic option for some terminally ill patients with end-stage heart disease, the role of clinical transplant and donor organ procurement coordinators has evolved into a new health profession. These well-trained, highly skilled, and dedicated individual's permeate all levels of the organ transplantation process, providing continuity of ca...

Submit Manuscript | http://medcraveonline.com Abbreviations: CHLT: Combined heart and liver transplantation; FAP: Familial Amyloid Poly neuropathy; OLT: Orthotopic Liver Transplant; OHT: Orthotopic Heart Transplant; UNOS : United Network for Organ Sharing; OPTN: Organ Procurement and Transplantation Network; HLT: Heart-Liver Transplant; HRT: Heart Transplant; LIV: Liver Transplant; ECMO: Extrac...

On 1 December 2015, Wales will unilaterally become the first country of the United Kingdom to introduce an opt-out system for organ donation. Political leaders in Scotland and Northern Ireland are debating similar legislation, and pressure will mount for England to jump on the opt-out bandwagon.Many supportive organisations are keen for change, including the BMA, which has long advocated the me...

BACKGROUND In December 2014, China announced that only voluntarily donated organs from citizens would be used for transplantation after January 1, 2015. Many medical professionals worldwide believe that China has stopped using organs from death-row prisoners. DISCUSSION In the present article, we briefly review the historical development of organ procurement from death-row prisoners in China ...

With the current situation in Belgium as its initial focus, this article will examine the regulatory framework that governs the use of mentally incompetent adults as living organ donors in Europe. Our survey of the national regulation of 22 countries will reveal widely diverging viewpoints, ranging from an absolute prohibition on organ procurement to a barely restricted authorisation to retriev...