title: Procurement of lungs for transplantation following donation after circulatory death: the Alfred technique.
abstract: BACKGROUND
  Donation after circulatory death (DCD) is an evolving method for lung transplantation (LTx) with results comparable to donation after brain death (DBD).
  
  
  METHODS
  DCD lung transplant program requires a systematic approach for an efficient utilization of hospital resources. The surgical techniques have been developed to minimize the ischemic time during lung procurement. We have presented our management protocol and the surgical techniques as used at the Alfred Hospital in Melbourne, Australia.
  
  
  RESULTS
  We have transplanted 92 recipients with lungs procured from 91 donors over an 8 year period from May 2006 to July 2014. This accounted for an extra 19% lung transplant operations performed during this time period. Operative mortality was 1% and 8 year survival was 71% in DCD lung recipients.
  
  
  CONCLUSIONS
  DCD lung transplantation provides an additional significant pool of lung donors with satisfactory short and long term outcomes.
authors.affiliation: Department of Cardiothoracic Surgery, The Alfred Hospital and Monash University, Melbourne, Australia.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Saxena
authors.affiliation: Department of Cardiothoracic Surgery, The Alfred Hospital and Monash University, Melbourne, Australia. Electronic address: a.zimmet@alfred.org.au.
authors.forename: Adam D
authors.initials: AD
authors.lastname: Zimmet
authors.affiliation: Lung Transplant Service, The Alfred Hospital and Monash University, Melbourne, Australia.
authors.forename: Greg
authors.initials: G
authors.lastname: Snell
authors.affiliation: Lung Transplant Service, The Alfred Hospital and Monash University, Melbourne, Australia.
authors.forename: Bronwyn
authors.initials: B
authors.lastname: Levvey
authors.affiliation: Department of Cardiothoracic Surgery, The Alfred Hospital and Monash University, Melbourne, Australia.
authors.forename: Silvana F
authors.initials: SF
authors.lastname: Marasco
authors.affiliation: Department of Cardiothoracic Surgery, The Alfred Hospital and Monash University, Melbourne, Australia.
authors.forename: David C
authors.initials: DC
authors.lastname: McGiffin
mesh_terms: D002951:Citrates / Q000494:pharmacology; D015925:Cryopreservation / Q000379:methods; D003643:Death; D006085:Graft Survival; D006801:Humans; D016040:Lung Transplantation / Q000379:methods* / Q000401:mortality*; D019188:Organ Preservation Solutions / Q000494:pharmacology; D010477:Perfusion / Q000379:methods; D015427:Reperfusion Injury / Q000401:mortality* / Q000517:prevention & control*; D014021:Tissue Preservation / Q000379:methods; D020858:Tissue and Organ Harvesting / Q000379:methods*; D009927:Tissue and Organ Procurement / Q000379:methods*
chemical_list: D002951:Citrates; D019188:Organ Preservation Solutions; C070005:Perfadex
keywords: Donation after circulatory death; Lung transplantation; Pulmonary flush solution