Technik und Organisation der Herzentnahme beim Multiorganspender. [Technique and organization of heart removal from the multi-organ donor]

Détails

ID Serval
serval:BIB_90DF1CA41824
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Technik und Organisation der Herzentnahme beim Multiorganspender. [Technique and organization of heart removal from the multi-organ donor]
Périodique
Helvetica Chirurgica Acta
Auteur(s)
Laske  A., Carrel  T., Pasic  M., Bauer  E., Niederhauser  U., von Segesser  L. K., Turina  M.
ISSN
0018-0181
Statut éditorial
Publié
Date de publication
08/1992
Volume
59
Numéro
2
Pages
377-82
Notes
English Abstract
Journal Article --- Old month value: Aug
Résumé
The orthotopic heart transplantation is an accepted treatment for terminal cardiac disease. The technique of heart procurement and preservation is explained and the primary graft function in 108 subsequent heart transplantations is assessed. The mean ischemia time is 41 +/- 10 min in local, 98 +/- 19 min in distant (< 100 km) and 114 +/- 16 min in distant (> 100 km) organ procurement. Our method of preservation consists of cold cardioplegic arrest with potassium (30 mEq/L) cardioplegic solution. The incidence of the indication for high dose katecholamine-treatment after surgery and the maximal creatininekinase levels rose with ischemia time. All hearts recovered within a few days and the stay in the intensive care unit was not prolonged. We conclude that the heart preservation with cold cardioplegic arrest results in a good primary graft function. It is important to keep the ischemia time as short as possible.
Mots-clé
Graft Survival/physiology Heart Transplantation/*instrumentation Humans Organ Preservation/*instrumentation Postoperative Complications/mortality *Surgical Instruments *Tissue Donors
Pubmed
Web of science
Création de la notice
14/02/2008 15:18
Dernière modification de la notice
20/08/2019 15:54
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