SIX YEARS’S RESULTS OF DONOR HEART COORDINATION, PRESERVATION, TRANSPORT IN VIETNAM

Phùng Duy Hồng Sơn1,2, Trịnh Hồng Sơn1,2,3, Nguyễn Hữu Ước1,2,
1 Vietnam-Germany Friendship Hospital
2 Hanoi Medical University
3 Vietnam National Coordinating Center for Human Organ Transplantation

Main Article Content

Abstract

Background: The report aims to summarize and share experiences on coordination, preservation and transport of donor hearts for the period of 2015 - 2021. Methods: An overview report on donor heart coordination in Vietnam and a descriptive study of donor heart transport cases that have related to Viet Duc University Hospital. Results: Sixteen donor hearts and one cardiopulmonary block were coordinated, preserved and transported. The average transport distance was 304.4 ± 307.1 km (2-1730). Twelve cases were transported by domestic airline. The average duration of cold ischemia is 4.2 ± 2 hours (range 0.5-6.25). 100% of transplants was technically successful. In post-transplant follow up one case was used IABP, one hospital death (cardiopulmonary block) was occurred due to non-cardiac complications. There was one patient (6.25%) died after 14 months due to rejection. The average follow-up time was 31.4 ± 30.4 months (range 5-78). For the group related to Viet Duc Hospital, donor hearts were preserved with Custodiol solution, kept refrigerated at 4-80C. The Custodiol preservation was repeated every hour after first two hours. Conclusion: Overcoming difficulties, making use of all available resources, we have successfully organized the coordination, preservation and transportation of donor hearts, with positive and safe results.

Article Details

References

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