Donor Management
Key Points
- Donor selection and management techniques are rapidly evolving.
- Optimal recipients are paired with optimal donors via a multidisciplinary and thorough evaluation that may vary by center.
- Age, blood type, BMI, and sex are among the most important factors when considering donor and recipient characteristics. Donor age less than 60 years, BMI within 30% of the recipient’s, and sex matching offer the best outcomes.
- Organ protection and transportation strategies are continually improving. While cold ischemic times of less than 6 hours are preferable, novel techniques utilizing ex-vivo autoperfusion may allow for acceptable outcomes with longer transport times.
- The donor pool is expanding through the use of marginal / high-risk donors, ex-vivo perfusion strategies, and donation after cardio-circulatory death (DCD). The number of hearts transplanted using these criteria is increasing year after year.
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Last updated: July 31, 2023
Citation
Figura, Ronald, et al. "Donor Management." Adult and Pediatric Cardiac Surgery. STS Cardiothoracic Surgery E-Book, Chicago: Society of Thoracic Surgeons, 2023. STS Surgery, ebook.sts.org.
Figura R, Fraser C, Higgins RS, Kilic A. Donor Management. In: Baumgartner WA, Jacobs JP, Darling GE, eds. Adult and Pediatric Cardiac Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. ebook.sts.org. Accessed December 4, 2023.
Figura, R., Fraser, C., Higgins, R. S., & Kilic, A. (2023). Donor Management. In Baumgartner, W., Jacobs, J., & Darling, G. (Eds.), Adult and Pediatric Cardiac Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons. ebook.sts.org
Figura R, Fraser C, Higgins RS, Kilic A. Donor Management [Internet]. In: Baumgartner WA, Jacobs JP, Darling GE, editors. Adult and Pediatric Cardiac Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. [cited 2023 December 04]. Available from: ebook.sts.org.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Donor Management
ID - 1864048
ED - Baumgartner,William,
ED - Jacobs,J,
ED - Darling,Gail,
Y1 - 2023/07/31/
BT - Adult Cardiac
UR - https://ebook.sts.org/sts/view/Cardiac-and-Congenital/1864048/all/Donor_Management
PB - Chicago: Society of Thoracic Surgeons
DB - STS Surgery
DP - Unbound Medicine
ER -