Sánchez-Hidalgo JM, Rodríguez-Ortiz L, Arjona-Sánchez Á, Ayllón-Terán MD, Gómez-Luque I, Ciria-Bru R, Luque-Molina A, López-Cillero P, Rufián-Peña S, Briceño-Delgado J. "Super-rapid" Technique in Donation After Circulatory Death Liver Donors: Advantages and Disadvantages.
Transplant Proc 2018;
51:25-27. [PMID:
30655137 DOI:
10.1016/j.transproceed.2018.05.034]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2018] [Revised: 04/28/2018] [Accepted: 05/21/2018] [Indexed: 12/14/2022]
Abstract
In recent years, donation after circulatory death (DCD) has increased as an option to overcome the organ donor shortage crisis and to decrease the large number of patients on liver transplant waiting lists. The "super-rapid" technique is now the "gold standard" procurement method because of its availability, reproducibility, low cost, and extensive experience. Recently, extracorporeal support has been implemented, with encouraging results. Strict donor acceptance criteria have proven to be essential to optimize the DCD liver graft outcomes and minimize biliary complication rates. In this study we assessed the state of the art of DCD liver transplantation with regard to its development and the actual strategies to prevent graft complications, with aim of expanding the pool of marginal liver donors.
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