Document Detail


Logistics and strategy of multiorgan procurement involving total face allograft.
MedLine Citation:
PMID:  21443675     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Case Reports; Journal Article     Date:  2011-03-28
Journal Detail:
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:
Created Date:  2011-04-27     Completed Date:  2011-10-17     Revised Date:  2011-11-03    
Medline Journal Info:
Nlm Unique ID:  100968638     Medline TA:  Am J Transplant     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1091-7     Citation Subset:  IM    
Copyright Information:
©2011 The Authors Journal compilation©2011 The American Society of Transplantation and the American Society of Transplant Surgeons.
Affiliation:
Pediatric Liver Transplantation Unit, Hospital Universitario Valle de Hebron, Autonomous University of Barcelona, Barcelona, Spain. jbueno@vhebron.net
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MeSH Terms
Descriptor/Qualifier:
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:
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:
Am J Transplant. 2011 Oct;11(10):2261   [PMID:  21812926 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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