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Watching the Clock in Donation After Circulatory Death Liver Transplantation

Driven by the continued shortage of liver allografts and waitlist mortality, the transplant community has increased the use of extended criteria organs. Donation after cardiocirculatory death liver transplantation (DCD LT) has experienced a renaissance over the last two decades, with improved outcomes as transplant centers have learned to balance graft, donor, and recipient characteristics, as shown in this issue's article by Paterno et. al (1). If we compare variables between DCD LT and those of donation after brain death (DBD), we find that DCD transplants occur with younger donors and less steatotic livers, and are allocated to healthier recipients (lower MELD, age, etc) (2). This article is protected by copyright. All rights reserved.