title: Successful kidney transplantation from donation after cardiac death using a load-distributing-band chest compression device during long warm ischemic time.
abstract: Donation after cardiac death (DCD) is increasing in importance as a potential source of vital organs for clinical transplantation. In Japan, the method of kidney procurement from DCD is one of the critical factors in successful deceased renal transplantation. The efforts to shorten the warm ischemic time (WIT), which is defined as the time from cardiac arrest to initiation of cooling in situ, or maintaining adequate renal blood flow during WIT by consistent chest compression are essential. We experienced one case of successful kidney transplantation using a non-invasive load-distributing-band chest compression device using AutoPulse (ZOLL Circulation, Sunnyvale, California), which is designed for use as an adjunct to cardiopulmonary resuscitation (CPR) to maintain adequate aortic pressure. This is the first report of our experiences of successful kidney transplantation from DCD using a load-distributing-band chest compression device for maintaining renal blood flow during long WIT. We can speculate that this mechanical CPR device can become a bridge to deceased organ transplantation.
authors.affiliation: Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Japan. junya99@tokyo-med.ac.jp
authors.forename: Junya
authors.initials: J
authors.lastname: Morozumi
authors.forename: Etsuo
authors.initials: E
authors.lastname: Sakurai
authors.forename: Naoto
authors.initials: N
authors.lastname: Matsuno
authors.forename: Makoto
authors.initials: M
authors.lastname: Ito
authors.forename: Tomoharu
authors.initials: T
authors.lastname: Yokoyama
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Ohtaka
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Taguchi
authors.forename: Takao
authors.initials: T
authors.lastname: Arai
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Kumasaka
authors.forename: Shoichi
authors.initials: S
authors.lastname: Ohta
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000295:instrumentation*; D006323:Heart Arrest; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D052096:Warm Ischemia