Implementation of Vascularized Composite Allografts in the United States: Recommendations From the ASTS VCA Ad Hoc Committee and the Executive Committee

被引:28
|
作者
Cendales, L. [1 ]
Granger, D. [2 ]
Henry, M. [3 ]
Jones, J. [4 ]
Langnas, A. [5 ]
Levi, D. [6 ]
Magee, J. [7 ]
Merion, R. [8 ]
Olthoff, K. [9 ]
Pruett, T. [11 ]
Roberts, J. [10 ]
Abecassis, M. [12 ]
机构
[1] Emory Univ, Emory Transplant Ctr, Atlanta, GA 30322 USA
[2] St John Hosp & Med Ctr, Detroit, MI USA
[3] Ohio State Univ, Med Ctr, Div Transplantat, Columbus, OH 43210 USA
[4] Blue Ridge Surg Associates, Transplant Surg, Johnson City, TN USA
[5] Univ Nebraska, Sect Transplantat, Omaha, NE 68182 USA
[6] Univ Miami, Miami Transplant Inst, Miami, FL USA
[7] Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USA
[8] Univ Michigan, Div Transplantat, Ann Arbor, MI 48109 USA
[9] Hosp Univ Penn, Dept Surg, Philadelphia, PA 19104 USA
[10] Univ Calif San Francisco, Div Transplantat, San Francisco, CA 94143 USA
[11] Univ Minnesota, Div Transplantat, Minneapolis, MN 55455 USA
[12] Northwestern Univ, Div Transplantat, Chicago, IL 60611 USA
关键词
Composite allograft; composite tissue; composite tissue program; donor; oversight; reconstructive transplantation; regulations; TRANSPLANT PROGRAM; HAND;
D O I
10.1111/j.1600-6143.2010.03374.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
Like all other areas of transplantation, vascularized composite allografts (VCA) has the capacity to transform the lives of patients, for the better or for the worse. It is this duality that mandates VCA be performed in centers prepared for the intricacies accompanying other transplant procedures. Similarly, the complexities of VCA require that the procedures be driven by surgeons and physicians with experience in the multidisciplinary management of immunocompromised postsurgical patients. Furthermore, the grafts should be considered as organs rather than tissues from a regulatory and a biological standpoint. The ASTS supports the field of VCA and has demonstrated its support and leadership by actively formulating a strategy for its systematic development. The goal of this document is to provide a framework for the prospective, thoughtful realization of VCA in the United States from the American Society of Transplant Surgeons (ASTS) perspective.
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页码:13 / 17
页数:5
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