Current opinion in organ transplantation
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Curr Opin Organ Transplant · Apr 2015
ReviewDonation after circulatory death: the current state and technical approaches to organ procurement.
In this review, we discuss the current state of donation after circulatory death (DCD). We define the DCD donor and describe the current protocols in management of the DCD patient. We then discuss current techniques in organ procurement of the lung and abdominal organs. ⋯ In light of the continually growing disparity between organ supply and demand, DCD has regained traction as a means to increase the donor pool.
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Curr Opin Organ Transplant · Apr 2015
ReviewPsychiatric evaluation of the face transplant candidate.
There have now been a total of 32 face transplants done in the world since the first in Amien, France, in 2005. This procedure is moving from being considered experimental to being considered an accepted option for reconstruction in cases of severe facial disfigurement. ⋯ There have been three deaths in the first 32 cases of facial transplantation (9.4%), two cases of post-transplant lymphoproliferative disorder in the first 20 face transplant recipients (10%). This rate of post-transplant lymphoproliferative disorder is about 10 times the rate seen in solid-organ transplant recipients. Collaborative assessment protocols are needed to determine whether the improvement in quality of life with facial transplantation is justified in the face of the risk of lifelong immunosuppression.