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Yuji Shiraishi
Sudhir Sundaresan
Joel D. Cooper
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Ann Thorac Surg 1997;64:203-206
© 1997 The Society of Thoracic Surgeons

Original Articles: General Thoracic

Retrieval by Other Procurement Teams Provides Favorable Lung Transplantation Outcome

Yuji Shiraishi, MD, Laura Ochoa, RN, Greg Richardson, RN, Janice R. Semenkovich, MD, Elbert P. Trulock, MD, Sudhir Sundaresan, MD, Joel D. Cooper, MD, G. Alexander Patterson, MD

Division of Cardiothoracic Surgery, Department of Surgery; Mallinckrodt Institute of Radiology; and Respiratory and Critical Care Division, Department of Medicine, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri

Accepted for publication January 8, 1997.

Background. During the last 4 years, we have increasingly used lungs retrieved by other procurement teams. We therefore investigated whether the use of those lungs affected the outcome of lung transplantation.

Methods. We analyzed the results of 159 consecutive lung transplantations performed at our institution between July 1, 1992, and December 31, 1995. The transplants were divided into three groups: distant donor lungs retrieved by our team (DB group, n = 68); distant donor lungs retrieved by other teams (DX group, n = 46); and local donor lungs retrieved by our team (LB group, n = 44). One transplantation with a local donor lung retrieved by another team was excluded from the analysis.

Results. No significant differences were noted between the three groups in alveolar-arterial oxygen gradient immediately after transplantation (DB group, 359 ± 18 mm Hg; DX group, 329 ± 23 mm Hg; LB group, 327 ± 20 mm Hg) and at 24 hours; days on ventilator; days in the intensive care unit; length of hospital stay; 30-day mortality; and actuarial 1-year survival (DB group, 81%; DX group, 87%; LB group, 89%).

Conclusions. The use of donor lungs retrieved by other teams achieves an equivalently satisfactory outcome after lung transplantation as lungs retrieved by our team.






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Copyright © 1997 by The Society of Thoracic Surgeons.