1. Donation after circulatory death liver transplantation: consensus statements from the Spanish Liver Transplantation Society
- Author
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Hessheimer, Amelia J., Gastaca, Mikel, Miñambres, Eduardo, Colmenero, Jordi, Fondevila, Constantino, Briceño, Javier, Caralt, Mireia, de la Rosa, Gloria, Fernández Aguilar, José Luis, Fundora, Yiliam, García‐Gil, F. Agustín, González‐Pinto, Ignacio, Lladó, Laura, López‐Andújar, Rafael, López Guerra, Diego, López Santamaría, Manuel, Manrique, Alejandro, Marín Gómez, Luis Miguel, Moneva, Enrique, Nuño, Javier, Pardo, Fernando, Pérez Saborido, Baltasar, Ramírez, Pablo, Rivas, José Ignacio, Rodríguez Laíz, Gonzalo P., Rodríguez Sanjuan, Juan Carlos, Ruíz, Patricia, Sánchez Turrión, Víctor, Varo, Evaristo, Velasco, Enrique Antonio, and Universidad de Cantabria
- Subjects
medicine.medical_specialty ,Consensus ,Tissue and Organ Procurement ,Standard of Good Practice ,medicine.medical_treatment ,Regional perfusion ,cardiac arrest ,030230 surgery ,Liver transplantation ,Postoperative management ,03 medical and health sciences ,0302 clinical medicine ,Clinical Research ,medicine ,Humans ,Intensive care medicine ,Liver diseases ,Marginal donor ,warm ischemia ,Transplantation ,Warm ischemia ,Transplantation of organs ,business.industry ,Malalties del fetge ,Graft Survival ,Organ Preservation ,Cardiac arrest ,Circulatory death ,Tissue Donors ,Liver Transplantation ,Death ,Perfusion ,Trasplantament d'òrgans ,Clinical Practice ,Spain ,Donation ,marginal donor ,Original Article ,030211 gastroenterology & hepatology ,business ,regional perfusion - Abstract
Summary Livers from donation after circulatory death (DCD) donors are an increasingly more common source of organs for transplantation. While there are few high‐level studies in the field of DCD liver transplantation, clinical practice has undergone progressive changes during the past decade, in particular due to mounting use of postmortem normothermic regional perfusion (NRP). In Spain, uncontrolled DCD has been performed since the late 1980s/early 1990s, while controlled DCD was implemented nationally in 2012. Since 2012, the rise in DCD liver transplant activity in Spain has been considerable, and the great majority of DCD livers transplanted in Spain today are recovered with NRP. A panel of the Spanish Liver Transplantation Society was convened in 2018 to evaluate current evidence and accumulated experience in DCD liver transplantation, in particular addressing issues related to DCD liver evaluation, acceptance criteria, and recovery as well as recipient selection and postoperative management. This panel has created a series of consensus statements for the standard of practice in Spain and has published these statements with the hope they might help guide other groups interested in implementing new forms of DCD liver transplantation and/or introducing NRP into their clinical practices.
- Published
- 2020