+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A more than 20% increase in deceased-donor organ procurement and transplantation activity after the use of donation after circulatory death



A more than 20% increase in deceased-donor organ procurement and transplantation activity after the use of donation after circulatory death



Transplantation Proceedings 46(1): 9-13



Organ procurement and transplant activity from controlled donation after circulatory death (DCD) was evaluated over an 11-year period to determine whether this program influenced the transplant and donation after brain death (DBD) activities. Deceased donor (DD) procurement and transplant data were prospectively collected in a local database for retrospective review. There was an increasing trend in the potential and actual DCD numbers over time. DCD accounted for 21.9% of the DD pool over 11 years, representing 23.7% and 24.2% of the DD kidney and liver pool, respectively. The DBD retrieval and transplant activity increased during the same time period. Mean conversion rate turning potential into effective DCD donors was 47.3%. Mean DCD donor age was 54.6 years (range, 3-83). Donors ≥60 years old made up 44.1% of the DCD pool. Among referred donors, reasons for nondonation were medical contraindications (33.7%) and family refusals (19%). Mean organ yield per DCD donor was 2.3 organs. Mean total procurement warm ischemia time was 19.5 minutes (range, 6-39). In 2012, 17 DCD and 37 DBD procurements were performed in the Liege region, which has slightly >1 million inhabitants. This DCD program implementation enlarged the DD pool and did not compromise the development of DBD programs. The potential DCD pool might be underused and seems to be a valuable organ donor source.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 051166748

Download citation: RISBibTeXText

PMID: 24216175

DOI: 10.1016/j.transproceed.2013.10.012


Related references

Impact of Donor Hepatectomy Time During Organ Procurement in Donation After Circulatory Death Liver Transplantation: The United Kingdom Experience. Transplantation 103(4): E79, 2019

Liver damage during organ donor procurement in donation after circulatory death compared with donation after brain death (Br J Surg 2013; 100: 381-386). British Journal of Surgery 100(3): 386-387, 2013

Liver damage during organ donor procurement in donation after circulatory death compared with donation after brain death. British Journal of Surgery 100(3): 381-386, 2013

An International Analysis of Policy Shifts to Donation After Cardio-circulatory Death (DCD) and Their Effect on Deceased Organ Donation and Transplantation Rates. Transplantation Journal 94(10s): 79-80, 2012

Kidney transplantation from uncontrolled donation after circulatory death (IIa): Organ procurement and renal harvested over a ten year period. European Urology Suppl.s 16(3): E1765-E1766, 2017

Uncontrolled donation after circulatory death: A cohort study of data from a long-standing deceased-donor kidney transplantation program. American Journal of Transplantation 19(6): 1693-1707, 2019

History of deceased organ donation, transplantation, and organ procurement organizations. Progress in Transplantation 22(1): 6, 2012

Leading Efforts to Increase Organ Donation Through Professionalization of Organ Procurement Organizations and Establishment of Organ and Tissue Donor Registries. Transplantation Proceedings 48(1): 10-14, 2016

Uterus transplantation: organ procurement in a deceased donor model. Fertility and Sterility 110(1): 183, 2018

Perigraft fluid collections after kidney transplantation: Does the type of donor (uncontrolled donation after circulatory death vs. donation after brain death) have a role?. Central European Journal of Urology 70(4): 439-444, 2017

Donation after circulatory death: the current state and technical approaches to organ procurement. Current Opinion in Organ Transplantation 20(2): 127-132, 2015

Techniques for Lung Procurement for Transplantation Following Donation After Circulatory Death. Operative Techniques in Thoracic and Cardiovascular Surgery 19(3): 380-393, 2014

The effect of inhalational anaesthesia during deceased donor organ procurement on post-transplantation graft survival. Anaesthesia and Intensive Care 46(2): 178-184, 2018

Procurement of lungs for transplantation following donation after circulatory death: the Alfred technique. Journal of Surgical Research 192(2): 642-646, 2014

Donation after cardiac death as a strategy to increase deceased donor liver availability. Annals of Surgery 244(4): 555-562, 2006