Does the use of pulmonary artery catheters increase the number of organs available for transplantation?

Pantelis Hadjizacharia, Ali Salim, Carlos Brown, Kenji Inaba, Linda S. Chan, Angela Mascarenhas, Daniel R. Margulies

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Aggressive donor management, including the placement of a pulmonary artery catheter (PAC) to monitor hemodynamic status and tissue perfusion, has been associated with a significant increase in the number of organs recovered for transplantation. Nonetheless, there has been growing scrutiny over the use of PACs because of their known complications and lack of therapeutic effect. The purpose of this study is to evaluate the use of PACs in the management of organ donors. The records of all patients who successfully donated organs between January 1, 2002 and December 31, 2005 were reviewed. A total of 96 patients underwent successful organ donation during the four-yr study period. Of these, 49 (51.0%) were managed with a PAC. Compared with donors managed without a PAC, there were significantly more hearts recovered from donors managed with a PAC (71.4% vs. 44.7%; p = 0.0079) with no difference in the daily administration of fluids and vasopressors between the two groups. The management of organ donors with a PAC can help maximize cardiac procurement.

Original languageEnglish (US)
Pages (from-to)62-66
Number of pages5
JournalClinical Transplantation
Volume24
Issue number1
DOIs
StatePublished - Jan 2010

Fingerprint

Organ Transplantation
Pulmonary Artery
Catheters
Tissue Donors
Tissue and Organ Procurement
Therapeutic Uses
Perfusion
Hemodynamics

Keywords

  • Organ donor
  • Pulmonary artery catheter
  • Transplantation

ASJC Scopus subject areas

  • Transplantation

Cite this

Hadjizacharia, P., Salim, A., Brown, C., Inaba, K., Chan, L. S., Mascarenhas, A., & Margulies, D. R. (2010). Does the use of pulmonary artery catheters increase the number of organs available for transplantation? Clinical Transplantation, 24(1), 62-66. https://doi.org/10.1111/j.1399-0012.2009.00980.x

Does the use of pulmonary artery catheters increase the number of organs available for transplantation? / Hadjizacharia, Pantelis; Salim, Ali; Brown, Carlos; Inaba, Kenji; Chan, Linda S.; Mascarenhas, Angela; Margulies, Daniel R.

In: Clinical Transplantation, Vol. 24, No. 1, 01.2010, p. 62-66.

Research output: Contribution to journalArticle

Hadjizacharia, P, Salim, A, Brown, C, Inaba, K, Chan, LS, Mascarenhas, A & Margulies, DR 2010, 'Does the use of pulmonary artery catheters increase the number of organs available for transplantation?', Clinical Transplantation, vol. 24, no. 1, pp. 62-66. https://doi.org/10.1111/j.1399-0012.2009.00980.x
Hadjizacharia, Pantelis ; Salim, Ali ; Brown, Carlos ; Inaba, Kenji ; Chan, Linda S. ; Mascarenhas, Angela ; Margulies, Daniel R. / Does the use of pulmonary artery catheters increase the number of organs available for transplantation?. In: Clinical Transplantation. 2010 ; Vol. 24, No. 1. pp. 62-66.
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