Marginal lung donors: A diminishing margin of safety?
Lung donor shortages have resulted in the critical appraisal of cadaveric donor acceptability criteria and the gradual relaxation of once strict guidelines. Many centers have reported their results with these "extended criteria" donors and an increasing number of multicenter registry studies have also been published. The results have been contradictory and leave many questions unanswered. Important new data has however come to light since the last review of the subject by the International Society for Heart and Lung Transplantation Pulmonary Council. We review the current literature focusing on recent developments in the pursuit of an expanded lung donor pool with acceptable outcomes.
Botha
Phil
P
Department of Cardiopulmonary Transplantation, Freeman Hospital, Newcastle upon Tyne, United Kingdom. p.botha@ncl.ac.uk
Fisher
Andrew J
AJ
Dark
John H
JH
D006801:Humans; D008168:Lung; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D018579:Patient Selection; D013902:Radiography, Thoracic; D012449:Safety; D012907:Smoking; D014019:Tissue Donors / Q000706:statistics & numerical data*; D020858:Tissue and Organ Harvesting / Q000379:methods
D010100:Oxygen