Full-Face Allograft Retrieval in a Multiple-Organ Donation in a Maastricht III Type Donor

Background: Donation after circulatory death (DCD) has emerged as a potential source of transplantable organs. To date, there have been no reports of face procurement in AD, and "face first" with ex situ perfusion has become the gold standard technique for obtaining facial allografts in mo...

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Detalles Bibliográficos
Autores: Barret Nerín, Juan Pedro|||0000-0001-7115-4830, Dopazo, Cristina|||0000-0001-6274-5911, Sandiumenge, Alberto|||0000-0001-8838-3007, Bilbao, Itxarone|||0000-0002-7389-395X, Charco, Ramon|||0000-0001-9709-6288
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:310304
Acceso en línea:https://ddd.uab.cat/record/310304
https://dx.doi.org/urn:doi:10.3390/jcm14051682
Access Level:acceso abierto
Palabra clave:VCA
Face transplantation
Donation
DCD
Asystole
Maastricht Type Donor
Descripción
Sumario:Background: Donation after circulatory death (DCD) has emerged as a potential source of transplantable organs. To date, there have been no reports of face procurement in AD, and "face first" with ex situ perfusion has become the gold standard technique for obtaining facial allografts in most centres. Objectives: We report a case of successful total face and kidney transplantation from a 47-year-old male AD donor. Methods: Immediately after confirmation of death, the "rapid recovery" technique was performed and a cannula was placed in the ascending aorta for in situ perfusion of the facial allograft simultaneously with the abdominal team. Results: The total ischaemic time from donor cardiac death to face reperfusion in the recipient was 5.5 h. Excellent renal and facial allograft function was reported.