RESUMEN
The Organ Care System (OCS) allows perfusion and ventilation of the donor lungs under physiological conditions. Ongoing trials to compare preservation with OCS Lung with standard cold storage do not include donor lungs with suboptimal gas exchange and donor lungs treated with OCS following cold storage transportation. We present a case of a 48-yr-old man who received such lungs after cold storage transportation treated with ex-vivo lung perfusion utilizing OCS.
Asunto(s)
Trasplante de Pulmón/instrumentación , Preservación de Órganos/instrumentación , Perfusión/instrumentación , Donantes de Tejidos , Recolección de Tejidos y Órganos/métodos , Transportes , Frío , Humanos , Masculino , Persona de Mediana Edad , Preservación de Órganos/métodos , Perfusión/métodos , PronósticoRESUMEN
In this manuscript, we present the first experience of evaluating donation after circulatory death (DCD) lungs, using the normothermic preservation Organ Care System (OCS) and subsequent successful transplantation. The OCS could be a useful tool for the evaluation of marginal lungs from DCD donors as it allows a proper recruitment and bronchoscopy in such donations in addition to continuous ex-vivo perfusion and assessment and treatment during transport. The OCS could potentially be a standard of care in the evaluation of marginal lungs from DCD.