lung transplant | kidney transplants | University of Texas Southwestern/St. Paul University Hospital | left ventricle assist devices
Life Savers
by
Richard A. Marini
There are several benefits to living-donor transplants. "Recipients
don't have to wait as long to get an organ, so they're healthier
and more likely to survive," explains Randall Rosenblatt, MD,
medical director of the University of Texas Southwestern/St. Paul
University Hospital lung transplant program. "The transplant organs
also spend less time outside the body - often minutes instead of
hours - so they're more viable. And finally, the organs are often
donated by family members, so there's a better chance of a close
match."
The number of living-donor transplants is increasing dramatically.
The first live liver donation was done in 1989. Last year, there
were 371 (compared to 4,579 transplants from deceased donors). And
living donors now account for almost 40 percent of all kidney
transplants - 5,256 out of 13,332 last year in the U.S.
Artificial Hearts
Following the failure of the first generation of artificial hearts
in the 1980s, cardiac transplant surgeons took a step back. Those
early models often triggered deadly blood clots and were prone to
infection, making them too risky to be practical.
In the years since, thousands of patients have received what are
called left ventricle assist devices. With the patient's own heart
still in place, the LVAD does the hard work of pumping life-giving
blood throughout the body. Not a permanent solution, the assist
pump serves as a bridge to keep the patient alive until a
transplant heart can be found. The device also helps patients heal
so they're better able to survive the
rigors of a transplant when a
new heart does come along. But the devices can't be implanted into
the chest because there's no room. And placing them in the abdomen
or even outside the body increases the risk of infection.
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