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Real-time transcription polymerase chain reaction cycle threshold values as criteria for utilization of incidental COVID-19 positive lung donors.

Publication ,  Journal Article
Hwang, J; Yuen, A; Rhoades, J; Barnes, D; Zakowski, P; Megna, DJ; Catarino, P; Zaffiri, L; Rampolla, R
Published in: J Heart Lung Transplant
March 2023

Shortage of organ donors is an ongoing limiting factor in lung transplantation (LT). Despite increasing prevalence of asymptomatic COVID-19 infection, positive COVID-19 testing from a potential donor remains a contraindication at many LT centers. In this report, we present the outcomes of LT utilizing an algorithm based on donor clinical presentation, and COVID-19 real-time reverse transcription polymerase chain reaction (RT-PCR) with cycle threshold (Ct) values evaluation. The Ct value threshold for organ acceptance was >35. A total of 8 COVID-positive donors were included. No donor-to-recipient transmissions of COVID-19 were observed. Short-term outcomes were comparable to those reported in pre-COVID literature. Survival-to-date is 100% with median POD of 161 days. Our findings support the safety and efficacy of utilizing our algorithm including Ct value threshold for selection of donors with incidental COVID-19 positive testing.

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Published In

J Heart Lung Transplant

DOI

EISSN

1557-3117

Publication Date

March 2023

Volume

42

Issue

3

Start / End Page

301 / 304

Location

United States

Related Subject Headings

  • Tissue Donors
  • Surgery
  • Real-Time Polymerase Chain Reaction
  • Polymerase Chain Reaction
  • Lung
  • Humans
  • COVID-19 Testing
  • COVID-19
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
 

Citation

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Hwang, J., Yuen, A., Rhoades, J., Barnes, D., Zakowski, P., Megna, D. J., … Rampolla, R. (2023). Real-time transcription polymerase chain reaction cycle threshold values as criteria for utilization of incidental COVID-19 positive lung donors. J Heart Lung Transplant, 42(3), 301–304. https://doi.org/10.1016/j.healun.2022.12.016
Hwang, Josephine, Alexander Yuen, Joshua Rhoades, Darina Barnes, Phillip Zakowski, Dominick J. Megna, Pedro Catarino, Lorenzo Zaffiri, and Reinaldo Rampolla. “Real-time transcription polymerase chain reaction cycle threshold values as criteria for utilization of incidental COVID-19 positive lung donors.J Heart Lung Transplant 42, no. 3 (March 2023): 301–4. https://doi.org/10.1016/j.healun.2022.12.016.
Hwang J, Yuen A, Rhoades J, Barnes D, Zakowski P, Megna DJ, et al. Real-time transcription polymerase chain reaction cycle threshold values as criteria for utilization of incidental COVID-19 positive lung donors. J Heart Lung Transplant. 2023 Mar;42(3):301–4.
Hwang, Josephine, et al. “Real-time transcription polymerase chain reaction cycle threshold values as criteria for utilization of incidental COVID-19 positive lung donors.J Heart Lung Transplant, vol. 42, no. 3, Mar. 2023, pp. 301–04. Pubmed, doi:10.1016/j.healun.2022.12.016.
Hwang J, Yuen A, Rhoades J, Barnes D, Zakowski P, Megna DJ, Catarino P, Zaffiri L, Rampolla R. Real-time transcription polymerase chain reaction cycle threshold values as criteria for utilization of incidental COVID-19 positive lung donors. J Heart Lung Transplant. 2023 Mar;42(3):301–304.
Journal cover image

Published In

J Heart Lung Transplant

DOI

EISSN

1557-3117

Publication Date

March 2023

Volume

42

Issue

3

Start / End Page

301 / 304

Location

United States

Related Subject Headings

  • Tissue Donors
  • Surgery
  • Real-Time Polymerase Chain Reaction
  • Polymerase Chain Reaction
  • Lung
  • Humans
  • COVID-19 Testing
  • COVID-19
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology