Open- vs. closed-chest pig models of donation after circulatory death

Autor: Valentin Hubacher, Manuel Egle, Selianne Graf, Maria Arnold, Adrian Segiser, Maria Nieves Sanz, Daniela Casoni, Luisana Garcia Casalta, Kay Nettelbeck, Maks Mihalj, Matthias Siepe, Alexander Kadner, Sarah Longnus
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Frontiers in Cardiovascular Medicine, Vol 11 (2024)
Druh dokumentu: article
ISSN: 2297-055X
DOI: 10.3389/fcvm.2024.1325160
Popis: BackgroundDuring donation after circulatory death (DCD), cardiac grafts are exposed to potentially damaging conditions that can impact their quality and post-transplantation outcomes. In a clinical DCD setting, patients have closed chests in most cases, while many experimental models have used open-chest conditions. We therefore aimed to investigate and characterize differences in open- vs. closed-chest porcine models.MethodsWithdrawal of life-sustaining therapy (WLST) was simulated in anesthetized juvenile male pigs by stopping mechanical ventilation following the administration of a neuromuscular block. Functional warm ischemic time (fWIT) was defined to start when systolic arterial pressure was
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