Liver transplantation using “refused grafts”: analysis of initial function and survival

Ferraz-Neto, Ben-Hur; Afonso, R.C.; Leitão, Rui; Macedo, C; Parra, O.M; Goehler, F; Silva, E D

doi:10.1016/s0041-1345(02)02616-7

Cited by 2 publications

(1 citation statement)

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“…36 By the DRI, it was demonstrated that some donor's features previously identified as risk factors did not attain any significance, such as female sex, obesity, elevated aminotransferase, serum sodium levels, and hypotension. 36 However, macrosteatosis 40,41 , CIT, DCD, and split grafts are still related to graft failure. It has been stressed that the OLT outcome is related to the status of the recipient.…”

Section: Donor Risk Indexmentioning

confidence: 99%

Use of extended criteria of donors in liver transplantation

Miranda

Macedo

Neto

et al. 2007

bjt

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The use of marginal/extended criteria for organ donors is a solution to the problem of organ donors shortage, and since its use has become more common worldwide, concerns on the effectiveness of such organs and the outcomes of the liver transplantation (LT) have been raised. In spite of the importance of the term, there is no consensus on the features of the marginal donors. Some parameters related to the features of those donors were found to have negative consequences: increasing donor or recipient age, longer cold ischemia time, hypotension and inotropic support, gender mismatch, after cardiac death donation, hearts that stopped beating, non-heart-beating donors, and macrosteatosis. This paper discusses some controversial issues found in the literature, and shares our experience related to the use of marginal/extended criteria of donor in liver transplantation.

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