Recommendations for the use of extended criteria donors in lung transplantation |
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Authors: | Pêgo-Fernandes P M Samano M N Fiorelli A I Fernandes L M Camargo S M Xavier A M Sarmento P A Bernardo W M de Castro M C Ribeiro Jatene F B |
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Institution: | a Department of Cardiopneumonology, Hospital das Clinicas, Medical School, University of São Paulo, São Paulo, Brazil b Heart Institute, Hospital das Clinicas, Medical School, University of São Paulo, São Paulo, Brazil c Thoracic Surgery Service, São Paulo Federal University, São Paulo, Brazil d Brazilian Association of Organ Transplantation, Medical School, University of São Paulo, São Paulo, Brazil e Thoracic Surgery Discipline, Medical School, University of São Paulo, São Paulo, Brazil f Brazilian Medical Association, São Paulo, Brazil |
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Abstract: | Selection criteria for lung donation were based on initial experiences with lung transplantation without further studies to improve them, thereby guaranting the best use of donated organs. A definition of an extended criteria donor is therefore required to obtain more lungs to meet the demands of patients awaiting transplantation. Studies have been reviewed for the impact on survival and morbidity of age ranges, oxygen fraction, cause of death, smoking habits, x-ray findings, infection, hepatitis serology and non-heart-beating status, seeking to support physicians to make decisions regarding the use of marginal organs. |
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