The approach used at Duke University Medical Center is known as a donation after circulatory death. It relies on hearts that have stopped beating and are essentially reanimated and begin beating again.
Doctors at Duke University Medical Center this month"reanimated" a heart for a first-of-its-kind transplant performed on an adult in the United States.
Heart transplants typically come from donations after brain death, in which the still-beating heart of a person who has been declared brain dead is transplanted into a recipient. The approach used at Duke is known as a donation after circulatory death , and it relies on hearts that have stopped beating and are essentially reanimated and begin beating again.The TransMedics Organ Care System, a warm perfusion pump, allows doctors to resuscitate and preserve hearts for transplantation.
Donor's family listens for heartbeat in recipient 01:29The procedure has some risks, as there are concerns about donation after circulatory death hearts."The major concern is that there is a period of time when the heart has no blood or oxygen getting to it prior to infusing it with the preservation solution and ice," said Dr. Ashish Shah, the chair of cardiac surgery at Vanderbilt University Medical Center, who was not involved in the US transplant.
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