Course Description
The number of organ donations after circulatory death continues to grow in the United States and worldwide but is yet to be accepted universally as a viable option to serve our patients on the transplant waiting list. This summit will identify and share effective practices on all aspects of organ donation after circulatory death (DCD) including logistics, outcomes, innovations and ethical challenges.
Objectives
- To describe current trends in DCD utilization and outcomes from transplant center and OPO perspectives
- To identify global innovations in organ preservation, examine the latest concepts in liver perfusion devices, and the implementation in clinical practice
- To examine logistics at the transplant center and OPO level for building a program by effectively using DCD organs
- To consider ethical perspectives in DCD donation
- To produce consensus on best practices in DCD procurement, allocation and utilization
Scientific Program
Friday, April 22nd
7:15 am
Registration & Breakfast
8:00 am
Welcome
Bradley Adams, JD, CPA
Giuliano Testa, MD, MBA, FACS
DCD 101
Moderators:
Giuliano Testa, MD, MBA, FACS
Bradley Adams, JD, CPA
Bradley Adams, JD, CPA
8:15 am
Historical Perspectives of DCD
Anthony D'Alessandro, MD
8:45 am
DCD Graft Utilization and Outcomes
Chris Sonnenday, MD, MHS
9:15 am
DCD Logistics & Metrics
Dave Goldberg, MD, MSCE
9:45 am
Break
SURGICAL PERSPECTIVE
Moderators:
Amelia J. Hessheimer, MD, PhD, FEBS
Gary Schwartz, MD, FACS
Gary Schwartz, MD, FACS
10:00 am
Pushing the Limits of DCD
Gregory J. McKenna, MD, FRCS(C), FACS
10:30 am
Innovations - Normothermic Regional Perfusion
Ashish Shah, MD
11:00 am
Innovations - Liver Perfusion Devices
Peter Friend, MD, FRCS
11:30 am
Bringing Innovations to an OPO
Jeff Orlowski, MS, CPTC
12:00 pm
Discussion and Q & A
12:30 pm
Lunch
PROGRAM PERSPECTIVES
Moderators:
James Trotter, MD
1:30 pm
Constructing a DCD Program. If You Build It, Will They Come?
Gregory J. McKenna, MD, FRCS(C), FACS
2:00 pm
Building Volume: OPO Viewpoint
Bradley Adams, JD, CPA
2:30 pm
Increasing DCD Donation: Hospital Viewpoint
Steve Newton, FACHE
3:00 pm
Allocation Considerations
Will Chapman, MD
3:30 pm
Should DCD Donation Expand?
A "Con" Perspective
A "Con" Perspective
Abraham Shaked, MD, PhD
4:00 pm
Should DCD Donation Expand?
A "Pro" Perspective
A "Pro" Perspective
George Loss, MD, FACS, PhD
ROUNDTABLE DISCUSSION
Moderators:
Marwan Abouljoud, MD, FACS
Amit Mathur, MD, MS, FACS
Amit Mathur, MD, MS, FACS
5:30 pm
ADJOURN
Saturday, April 23rd
7:30 am
Breakfast
ETHICAL AND POLICY CONSIDERATIONS IN DCD DONATION
Moderators:
Tim Pruett, MD
Marwan Abouljoud, MD, FACS
Marwan Abouljoud, MD, FACS
8:00 am
The Difference Between Defining and Determining Death and Implications for the Transplant Community
Lainie Ross, MD, PhD
8:45 am
Harm of Non-Donation
Joshua Mezrich, MD
9:15 am
Variation and Best Practices in DCD Policies
Anji Wall, MD, PhD
CAN WE ETHICALLY EXPAND DCD DONATION?
Moderators:
Tim Pruett, MD
Marwan Abouljoud, MD, FACS
Marwan Abouljoud, MD, FACS
10:00 am
Expanding to Uncontrolled DCD.
Amelia J. Hessheimer, MD, PhD, FEBS
10:30 am
Expanding the Organ Potential with Imminent Death Donation
Thao Galvan, MD, MPH, FACS
11:00 am
DCD Donation in the Setting of Euthanasia
Frank JMF Dor, MD, PhD, FEB(Hon), FRCS
11:30 am
Should We Step Away from the Dead Donor Rule?
Giuliano Testa, MD, MBA, FACS
12:00 pm
Controversies, Q & A and Panel Discussion
Robert L. Fine, MD, FACP, FAAHPM
Lainie Ross, MD, PhD
1:00 pm
Wrap-up & Adjourn
Target Audience
Transplant surgeons, transplant physicians, transplant center administrative leadership, OPO clinical leadership, and any clinician involved in deceased donor selection.
Accreditation & Credit Designation
The Foundation for Advanced Cardiovascular Education and Training (FACET), Provider #0007001, has approved this program for 8 AMA PRA Category 1 Credits™. The Foundation for Advanced Cardiovascular Education and Training (FACET) was reviewed by the Accreditation Council for Continuing Medical Education (ACCME®) and awarded accreditation status as a provider of continuing medical education (CME) for physicians. Physicians should claim only credit commensurate with the extent of their participation in the activity. To receive credit, attendees must complete the following steps: sign-in, attend the program, and complete an evaluation.
Course Directors
Giuliano Testa, MD, MBA, FACS
- Chief, Abdominal Transplant
- Baylor University Medical Center, Dallas, TX
- Baylor Scott & White All Saints Medical Center, Fort Worth, TX
Patti Niles, BS, RN, CPTC
- President and Chief Executive Officer
- Southwest Transplant Alliance
- Dallas, TX
Anji Wall, MD, PhD
- Transplant Surgeon
- Baylor University Medical Center
- Dallas, TX
James F. Trotter, MD
- Medical Director, Transplant Hepatology
- Baylor University Medical Center
- Dallas, Texas
Sumeet Asrani, MD, MSc
- Medical Director, Center for Advanced Liver Disease
- Baylor University Medical Center
- Dallas, TX
Gary Schwartz, MD
- Chief of Thoracic Surgery
- Director, ECMO
- Baylor University Medical Center, Dallas
Faculty
Bradley Adams, JD, CPA
- President
- Southwest Transplant Alliance
- Dallas, TX
Will Chapman, MD
- Professor of Surgery
- Chief, Abdominal Transplantation
- Washington University School of Medicine/Barnes-Jewish Hospital
- St Louis, MO
Anthony D'Alessandro, MD
- Mark A. Fischer Professor of Transplantation
- Associate Medical Director, UW Organ and Tissue Donation
- University of Wisconsin School of Medicine
- Madison, WI
Frank JMF Dor, MD, PhD, FEB(Hon), FRCS
- Consultant Transplant Surgeon
- Head of Transplantation
- Imperial College Renal and Transplant Centre
- United Kingdom
Robert L. Fine, MD, FACP, FAAHPM
- Clinical Director, Clinical Ethics and Palliative Care
- Baylor Scott & White Health
- Dallas, TX
Peter Friend, MD, FRCS
- Professor of Transplantation
- University of Oxford
- Oxford, England
Thao Galvan, MD, MPH, FACS
- Assistant Professor of Surgery, Division of Abdominal Transplantation
- Baylor College of Medicine
- Houston, TX
Dave Goldberg, MD, MSCE
- Associate Professor of Medicine
- Division of Digestive Health and Liver Diseases
- University of Miami Miller School of Medicine.
- Miami, FL
Amelia J. Hessheimer, MD, PhD, FEBS
- Hepatopancreatobiliary Surgery & Transplantation
- Hospital Universitario La Paz
- Madrid, Spain
Jayme Locke, MD, MPH, FACS
- Chief, Division of Transplantation
- Director, UAB Comprehensive Transplant Institute
- University of Alabama
- Birmingham, AL
George Loss, MD, FACS, PhD
- Chief, Surgical Services and Multi-Organ Transplant Institute
- Ochsner Multi-Organ Transplant Institute
- New Orleans, LA
Amit Mathur, MD, MS, FACS
- Associate Professor of Surgery
- Consultant, Division of Transplant Surgery
- Mayo Clinic School of Medicine
- Scottsdale, AZ
Gregory J. McKenna, MD, FRCS(C), FACS
- Transplant Surgeon
- Baylor University Medical Center
- Dallas, TX
Joshua Mezrich, MD
- Associate Professor of Surgery in the Division of Transplantation
- University of Wisconsin School of Medicine and Public Health
- Madison, WI
Paolo Muiesan, MD FRCS FEBS
- Professor Surgery, University of Florence
- Director of HPB Surgery, Careggi University Hospital
- Firenze, Italy
Steve Newton, FACHE
- President, Baylor University Medical Center
- Dallas, TX
Jeff Orlowski, MS, CPTC
- President & Chief Executive Officer
- LiIfeShare Transplant Donor Services of Oklahoma
- UNOS Region 4 Councilor
- Oklahoma City, OK
Timothy Pruett , MD
- Director, Liver Transplantation Program Department of Surgery
- University of Minnesota Medical School
- Minneapolis, MN
Lainie Ross, MD, PhD
- Associate Director, MacLean Center for Clinical Medical Ethics
- University of Chicago
- Chicago, IL
Ashish Shah, MD
- Director, Heart Transplant & Mechanical Circulatory Support
- Vanderbilt University Medical Center
- Nashville, TN
Abraham Shaked, MD, PhD
- Chief, Division of Transplantation Surgery
- Director, Penn Transplant Institute
- Philadelphia, PA
Chris Sonnenday, MD, MHS
- Surgical Director, Liver Transplantation
- Michigan Medicine, University of Michigan
- Ann Arbor, MI