kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2026-15-2-96-105kpccz-1848Research ArticleАНАЛИТИЧЕСКИЙ ОБЗОР. Сердечно-сосудистая хирургияREVIEWS. Cardiovascular surgeryВОЗМОЖНОСТИ ИСПОЛЬЗОВАНИЯ СЕРДЕЧНОГО ТРАНСПЛАНТАТА ПОСЛЕ ОСТАНОВКИ КРОВООБРАЩЕНИЯOPPORTUNITIES FOR USING CARDIAC ALLOGRAFTS AFTER CIRCULATORY DEATHhttps://orcid.org/0000-0001-7976-596XЖульковМаксим ОлеговичZhulkovMaxim O.

кандидат медицинских наук научный сотрудник научно-исследовательского отдела хирургии аорты, коронарных и периферических артерий института патологии кровообращения федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

PhD, Researcher, Center for Surgery of the Aorta, Coronary and Peripheral Arteries, Institute of Circulation Pathology, Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation

medicus-maligna@mail.ruhttps://orcid.org/0000-0002-2617-2447ПротопоповАндрей ВладимировичProtopopovAndrey V.

аспирант, младший научный сотрудник научно-исследовательского отдела хирургии аорты, коронарных и периферических артерий института патологии кровообращения федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

Postgraduate Student, Junior Researcher, Center for Surgery of the Aorta, Coronary and Peripheral Arteries, Institute of Circulation Pathology, Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation

andrew-uss@yandex.ruhttps://orcid.org/0009-0000-2435-9868СмирновЯрослав МаксимовичSmirnovYaroslav M.

медицинский брат-анестезист отделения анестезиологии и реанимации для взрослого населения федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

Anesthesia Nurse, Department of Anesthesiology and Intensive Care for Adult Patients, Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation

y.smirnov@g.nsu.ruhttps://orcid.org/0009-0009-5722-9256МишенинВладислав АнатольевичMisheninVladislaw A.

ординатор 1-го года обучения по специальности «сердечно-сосудистая хирургия» федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

First-year Resident in Cardiovascular Surgery, Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation

v_mishenin@meshalkin.ruhttps://orcid.org/0009-0009-9389-6451ЗверевИван ВладимировичZverevIvan V.

ординатор 1-го года обучения по специальности «сердечно-сосудистая хирургия» федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

First-year Resident in Cardiovascular Surgery, Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation

i_zverev@meshalkin.ruhttps://orcid.org/0009-0007-9948-2757ТурсуновОлимджон ОдилджоновичTursunovOlimjon O.

ординатор 2-го года обучения по специальности «сердечно-сосудистая хирургия» федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

Second-year Resident in Cardiovascular Surgery, Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation

o_tursunov@meshalkin.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской ФедерацииРоссияMeshalkin National Medical Research Center of the Ministry of Health of the Russian FederationRussian Federation20260405202615296105Copyright © Жульков М.О., Протопопов А.В., Смирнов Я.М., Мишенин В.А., Зверев И.В., Турсунов О.О., 20262026Жульков М.О., Протопопов А.В., Смирнов Я.М., Мишенин В.А., Зверев И.В., Турсунов О.О.Zhulkov M.O., Protopopov A.V., Smirnov Y.M., Mishenin V.A., Zverev I.V., Tursunov O.O.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/1848Основные положения

Основные положения

 

 

Резюме

Резюме

Острая нехватка донорских сердец в Российской Федерации требует внедрения инновационных подходов. Донорство после циркуляторной смерти (DCD) представляет значительный потенциал для увеличения пула трансплантатов, выходя за рамки традиционного донорства после смерти мозга. Внедрение программ DCD-донорства сердца в России сталкивается с комплексом медицинских, юридических и организационных барьеров. Ключевые проблемы включают ограниченное время на забор органа, риск ишемического повреждения миокарда, необходимость совершенствования протоколов констатации смерти и преодоление этических дилемм. Несмотря на это, опыт других стран демонстрирует успешность DCD-трансплантации сердца при использовании передовых технологий сохранения органов (перфузионные системы). Развитие DCD в РФ требует оптимизации законодательства, создания специализированных протоколов, подготовки мультидисциплинарных команд и повышения общественной осведомленности. Реализация этого направления способна существенно сократить дефицит и снизить смертность пациентов в листе ожидания.

Highlights

Highlights

 

 

Abstract

Abstract

The critical shortage of donor hearts in the Russian Federation necessitates innovative solutions. Donation after Circulatory Death (DCD) offers significant potential to expand the donor pool beyond traditional donation after brain death. Implementing DCD heart programs in Russia faces complex medical, legal, and logistical barriers. Key challenges include the narrow window for organ recovery, the risk of myocardial ischemic injury, the need to refine protocols for death determination, and addressing ethical concerns. Nevertheless, international experience demonstrates successful DCD heart transplantation utilizing advanced organ preservation technologies (e.g., perfusion systems). Developing DCD in Russia requires optimizing legislation, establishing specialized protocols, training multidisciplinary teams, and enhancing public awareness. Implementing DCD could substantially alleviate the organ shortage and reduce waitlist mortality.

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The authors declare that there are no conflicts of interest present.