Safe heart flush technique during recovery from donors after circulatory death.

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiac Surgery Pub Date : 2022-12-01 DOI:10.1111/jocs.17023

Magdy M El-Sayed Ahmed, Kevin P Landolfo, Samuel Jacob, Basar Sareyyupoglu, Mathew Thomas, Si M Pham, Ian A Makey

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Abstract

Background: Donation after circulatory death is the donation after cardiac arrest. This technique has been employed and adopted by clinicians to overcome the shortage of available hearts for transplant. Warm ischemia time plays a pivotal role in the survival outcome of the heart recipients.

Aim of the study: To assess the efficacy of using the Foley catheter to flush the heart during procurement from donation after circulatory death donors.

Methods: We utilized a 2-WAY Foley catheter to flush the heart during procurement. The catheter was prepared and modified on the back table.

Results: We were successfully able to flush the heart within 3 minutes from skin incision with a good recipient outcome.

Conclusions: Using the Foley catheter to flush the heart during recovery from donation after circulatory death donors was both efficient and fast.

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循环性死亡后供体恢复过程中的安全心脏冲洗技术。

背景:循环死亡后的捐赠是指心脏骤停后的捐赠。这项技术已被临床医生采用，以克服可用心脏移植的短缺。热缺血时间对心脏受者的生存结果起着关键作用。本研究的目的:评价在循环死亡供者捐献后采血过程中使用Foley导管冲洗心脏的效果。方法:取心时采用双向Foley导管冲洗心脏。在背台上准备和修改导管。结果:我们成功地在3分钟内将心脏从皮肤切口冲洗出来，并获得了良好的受者效果。结论:在循环性死亡供者捐献后恢复过程中，采用Foley导管冲洗心脏既有效又快速。

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来源期刊

Journal of Cardiac Surgery 医学-外科

CiteScore

2.90

自引率

12.50%

发文量

976

审稿时长

3-8 weeks

期刊介绍： Journal of Cardiac Surgery (JCS) is a peer-reviewed journal devoted to contemporary surgical treatment of cardiac disease. Renown for its detailed "how to" methods, JCS''s well-illustrated, concise technical articles, critical reviews and commentaries are highly valued by dedicated readers worldwide. With Editor-in-Chief Harold Lazar, MD and an internationally prominent editorial board, JCS continues its 20-year history as an important professional resource. Editorial coverage includes biologic support, mechanical cardiac assist and/or replacement and surgical techniques, and features current material on topics such as OPCAB surgery, stented and stentless valves, endovascular stent placement, atrial fibrillation, transplantation, percutaneous valve repair/replacement, left ventricular restoration surgery, immunobiology, and bridges to transplant and recovery. In addition, special sections (Images in Cardiac Surgery, Cardiac Regeneration) and historical reviews stimulate reader interest. The journal also routinely publishes proceedings of important international symposia in a timely manner.