| Logistics and strategy of multiorgan procurement involving total face allograft. | |
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MedLine Citation:
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PMID: 21443675 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The face is the latest body structure to be added to the field of transplantation and the learning curve is ongoing. In the scenario of multiorgan recovery, the face is a nonvital 'organ' structure compared with other life-saving organs. To date, the face has been the first 'organ' to be procured in a multiorgan procurement. A technique for simultaneous recovery of the whole face, heart, lungs, liver, pancreas and kidneys is described. Thirty professionals participated in the procedure, of whom 13 were surgeons. No tracheotomy was performed. A mask of the donor's face was made from a mold impression. Duration of the procedure from skin incision to the end of surgery was 7.3 h. The face was perfused with Wisconsin solution through a cannula inserted into the aortic arch between the origin of the brachiocephalic arterial trunk and the left subclavian artery. Blood requirements consisted of 4 units of packed red blood cells. After the procedure, the mask was placed on the donor's face. All recovered grafts functioned immediately. In summary, simultaneous multiorgan procurement including the whole face is feasible, effective and saves time without jeopardizing life-saving organs and without the need for tracheotomy. |
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Authors:
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J Bueno; J P Barret; J Serracanta; A Arnó; J M Collado; C Valles; M J Colominas; Y Diez; T Pont; P Salamero; V Martinez-Ibañez |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2011-03-28 |
Journal Detail:
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Title: American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons Volume: 11 ISSN: 1600-6143 ISO Abbreviation: Am. J. Transplant. Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-04-27 Completed Date: 2011-10-17 Revised Date: 2011-11-03 |
Medline Journal Info:
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Nlm Unique ID: 100968638 Medline TA: Am J Transplant Country: United States |
Other Details:
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Languages: eng Pagination: 1091-7 Citation Subset: IM |
Copyright Information:
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©2011 The Authors Journal compilation©2011 The American Society of Transplantation and the American Society of Transplant Surgeons. |
Affiliation:
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Pediatric Liver Transplantation Unit, Hospital Universitario Valle de Hebron, Autonomous University of Barcelona, Barcelona, Spain. jbueno@vhebron.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adenosine Adult Allopurinol Face Facial Transplantation / instrumentation, methods* Glutathione Hemodynamics Humans Insulin Male Organ Preservation / methods Organ Preservation Solutions Organ Transplantation / methods Perfusion Raffinose Time Factors Tissue Donors Tissue and Organ Procurement / methods* Transplantation, Homologous / methods |
| Chemical | |
Reg. No./Substance:
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0/Organ Preservation Solutions; 0/University of Wisconsin-lactobionate solution; 11061-68-0/Insulin; 315-30-0/Allopurinol; 512-69-6/Raffinose; 58-61-7/Adenosine; 70-18-8/Glutathione |
| Comments/Corrections | |
Comment In:
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Am J Transplant. 2011 Oct;11(10):2261
[PMID:
21812926
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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