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• W4362579897 abstract "PurposeNOP utilizes a national network of dedicated cardiothoracic surgical procurement and Organ Care System (OCS) ex-vivo perfusion clinical expertise. The NOP was established to: maximize the utilization of donor hearts and lungs for transplantation; overcome the logistical and infrastructural burden of distant donor organ procurement and national allocation; standardize the clinical quality of care for ex-vivo perfusion and assessment of cardiothoracic allografts by minimizing learning curves; and to establish a better work-life balance for the valuable surgical and clinical transplant staff at transplant programs.MethodsWe established sixteen NOP launching points across the continental U.S. to provide broad geographical coverage and facilitate national procurement of cardiothoracic organs (Figure 1). Each launch point is equipped with OCS heart and lung systems, cardiothoracic surgical procurement, and OCS perfusion expertise. The entire NOP program is supported by a 24X7 national hotline and coordinators team to provide timely response to the transplant programs’ demand for NOP donor procurements.ResultsFrom January to October 2022 there were 321 heart and lung transplants from DBD and DCD donors performed on OCS technology across 35 U.S. heart and lung transplant programs. The percent utilization of NOP in these cases is shown in Figure 2.ConclusionIn its first year of operation, the NOP has been successfully integrated in the process of cardiothoracic organ transplants across the US and is growing. Importantly, there is growing confidence in distant procurement of hearts and lung from DBD and DCD donors by leveraging the NOP launch points. The continued adoption of NOP by transplant programs could potentially lead to a significant increase in heart and lung transplant volume in the U.S. NOP utilizes a national network of dedicated cardiothoracic surgical procurement and Organ Care System (OCS) ex-vivo perfusion clinical expertise. The NOP was established to: maximize the utilization of donor hearts and lungs for transplantation; overcome the logistical and infrastructural burden of distant donor organ procurement and national allocation; standardize the clinical quality of care for ex-vivo perfusion and assessment of cardiothoracic allografts by minimizing learning curves; and to establish a better work-life balance for the valuable surgical and clinical transplant staff at transplant programs. We established sixteen NOP launching points across the continental U.S. to provide broad geographical coverage and facilitate national procurement of cardiothoracic organs (Figure 1). Each launch point is equipped with OCS heart and lung systems, cardiothoracic surgical procurement, and OCS perfusion expertise. The entire NOP program is supported by a 24X7 national hotline and coordinators team to provide timely response to the transplant programs’ demand for NOP donor procurements. From January to October 2022 there were 321 heart and lung transplants from DBD and DCD donors performed on OCS technology across 35 U.S. heart and lung transplant programs. The percent utilization of NOP in these cases is shown in Figure 2. In its first year of operation, the NOP has been successfully integrated in the process of cardiothoracic organ transplants across the US and is growing. Importantly, there is growing confidence in distant procurement of hearts and lung from DBD and DCD donors by leveraging the NOP launch points. The continued adoption of NOP by transplant programs could potentially lead to a significant increase in heart and lung transplant volume in the U.S." @default.
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• W4362579897 date "2023-04-01" @default.
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• W4362579897 title "(622) First Report on the Performance of the National OCS Program (NOP) in U.S. Heart and Lung Transplants" @default.
• W4362579897 doi "https://doi.org/10.1016/j.healun.2023.02.636" @default.
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