Abstract
A program for uncontrolled lung DCD must be adapted to the sensitivity of the general public regarding which procedures that may be done on a dead body. A reliable ex vivo method to ensure adequate function of the potential DCD lung is mandatory to predict a successful outcome for the recipient. An absolutely reliable test to demonstrate that a protocol for uncontrolled lung DCD is safe is to do left lung transplantation in an adult-sized pig with the DCD lung in question, followed by right pneumonectomy, thereby making the recipient pig 100 % dependent for its survival on the transplanted DCD lung. If the gas exchange and general condition of the recipient pigs do not significantly differ from healthy pigs, in which only right pneumonectomy has been done, the protocol is safe and may be proposed for clinical use to the Ethics Committee.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Steen S, Liao Q, Pierre L, Paskevicius A, Sjöberg T. The critical importance of minimal delay between chest compression and subsequent defibrillation: a haemodynamic explanation. Resuscitation. 2003;58:249–58.
Steen S, Kimblad PO, Sjöberg T, Lindberg L, Ingemansson R, Massa G. Safe lung preservation for twenty-four hours with Perfadex. Ann Thorac Surg. 1994;57:450–7.
Steen S, Sjöberg T, Ingemansson R, Lindberg L. Efficacy of topical cooling in lung preservation: is a reappraisal due? Ann Thorac Surg. 1994;58:1657–63.
Steen S, Ingemansson R, Budrikis A, Bolys R, Roscher R, Sjöberg T. Successful transplantation of lungs topically cooled in the non-heart-beating donor for 6 hours. Ann Thorac Surg. 1997;63:345–51.
Steen S, Liao Q, Wierup P, Bolys R, Pierre L, Sjöberg T. Transplantation of lungs from non-heart-beating donors after functional assessment ex vivo. Ann Thorac Surg. 2003;76:244–52.
Bolys R, Ingemansson R, Sjöberg T, Steen S. Vascular function in the cadaver up to six hours after cardiac arrest. J Heart Lung Transplant. 1999;18:582–6.
Wetterberg T, Steen S. Total extracorporeal lung assist: a new clinical approach. Intensive Care Med. 1991;17:73–7.
Steen S, Sjöberg T, Pierre L, Liao Q, Eriksson L, Algotsson L. Transplantation of lungs from a non-heart-beating donor. Lancet. 2001;357:825–9.
Carlberg A. Transplanting lungs from non-heart-beating donors. Natl Cathol Bioeth Q. 2002;2:377–80.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Japan
About this chapter
Cite this chapter
Steen, S. (2014). How to Initiate DCD Program for Lung Transplantation. In: Asano, T., Fukushima, N., Kenmochi, T., Matsuno, N. (eds) Marginal Donors. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54484-5_5
Download citation
DOI: https://doi.org/10.1007/978-4-431-54484-5_5
Published:
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-54483-8
Online ISBN: 978-4-431-54484-5
eBook Packages: MedicineMedicine (R0)