Issue |
J Extra Corpor Technol
Volume 20, 1988
Proceedings of AmSECT’s 26th International Conference
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Page(s) | 110 - 113 | |
DOI | https://doi.org/10.1051/ject/198820S110 | |
Published online | 25 August 2023 |
Original Article
Portable Bypass for the Procurement of Organs Used in Heart and Lung Transplants
Heart-Lung Department, Harefield Hospital, Harefield, Uxbridge, Middlesex, England
* Direct communications to: P.E. Jones, Senior Perfusionist, Heart-Lung Department, Harefield Hospital, Harefield, Uxbridge, Middlesex, UB9 6JH, England
In July 1985, a method of organ procurement was devised using a portable cardiopulmonary bypass machine. Up to July 1985 all donors were transferred to Harefield Hospital for organ removal. Only 7 were performed by this method. Upon the introduction of the portable device, 25 more organs were transplanted, a significant increase in organ availability. To date, 114 organ procurements have been performed not only in Great Britain and Northern Ireland, but also in Europe with the longest ischemic time being 4 hours and 45 minutes.
The following is a detailed description of what was used to develop the portable machine. We utilized a bubble oxygenator cardiotomy reservoir, and a cooling system, which allows the user to cool down the donor to a temperature of 6 degrees opesophageal and approximately 8 degrees nasopharyngeal. It is believed that this method could help with the procurement of other organs, such as liver and kidneys, because of the total body cooling. This device has also been used on two occasions for the treatment of pulmonary embolism, where the operation was carried out at a non-cardiac hospital, and the transfer of such a patient would have led to the patient's demise.
© 1988 AMSECT
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