ArticleJTCVS techniques2026
Impact of ex vivo lung perfusion evaluation on donation after circulatory death in lung transplantation.
Article in JTCVS techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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10 authors.
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Abstract
Objectives: As the result of increased warm ischemia time and limited intraoperative evaluation, donation after circulatory death (DCD) donors might be considered greater risk, and use lags behind donation after brain death (DBD). Ex vivo lung perfusion (EVLP) provides an opportunity to better evaluate DCD lungs, and we sought to examine our outcomes. Methods: A single-center retrospective review of a prospectively collected database was performed for DCD donor lung transplants (LTx) from January 1, 2007, to August 8, 2024. DCD donors were stratified into EVLP (EVLP-DCD) and non-EVLP (non-EVLP-DCD) groups. Donor and recipient demographics, donor quality metrics, post-LTx outcomes, and overall survival were collected. Results: In total, 2282 LTx were performed from 2007 to 2024, and 467 (20.5%) were from DCD. EVLP was used in 257 (55%) of DCD. Between EVLP-DCD and non-EVLP-DCD, there was similar primary graft dysfunction grade 3 at 72 hours (14.0% vs 13.3%, Conclusions: Transplantation of DCD lungs evaluated by EVLP had comparable outcomes compared with non-EVLP-evaluated DCD lungs and DBD lungs. Liberal use of EVLP evaluation has led to safe and increased use of DCD lungs despite their unpredictably greater risk.
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