Domino liver transplant: influence on the number of donors and transplant coordination.
The shortage of organs forces coordinators to seek new forms of generating organs for transplantation of the increasing numbers of patients on waiting lists. A recent technique called sequential transplant or domino liver transplant (DLT) allows the transplantation of a patient with chronic liver disease by implantation of a full-size liver derived from a patient with familial amyloidosis polyneuropathy (FAP) who receives a cadaveric graft. Therefore, it is possible to transplant two patients with only one cadaveric liver. The present report illustrates the use of this technique for the first time in our country, thereby increasing the number of hepatic transplants by 25%.
Nunes
F
F
General Hospital Santo António, Porto, Portugal. gccot@hgsa.min-saude.pt
Valente
M
M
Pereira
R
R
Amil
M
M
D006801:Humans; D016030:Kidney Transplantation / Q000473:pathology / Q000706:statistics & numerical data; D016031:Liver Transplantation / Q000379:methods / Q000473:pathology / Q000706:statistics & numerical data*; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D014019:Tissue Donors / Q000706:statistics & numerical data*; D014850:Waiting Lists