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Donation after circulatory death liver transplantation: consensus statements from the Spanish Liver Transplantation Society

2020; Springer Science+Business Media; Volume: 33; Issue: 8 Linguagem: Inglês

10.1111/tri.13619

1432-2277

Amelia J. Hessheimer, Mikel Gastaca, Eduardo Miñambres, Jordi Colmenero, Constantino Fondevila, Javier Briceño, M. Caralt, Gloria de la Rosa, José Luís Fernández Aguilar, Yilliam Fundora, Francisco A. García‐Gil, I González-Pinto, Laura Lladó, Rafael López‐Andújar, Diego López-Guerra, Manuel Santamarı́a, Alejandro Manrique, Luis Miguel Marín Gómez, Enrique Moneva, Javier Nuño, Fernando Pardo, B. Pérez-Saborido, Pablo Ramírez, José Ignacio Rivas, G. Rodríguez-Laiz, Juan Carlos Rodríguez-Sanjuán, P. Ruíz, Víctor Sánchez Turrión, Evaristo Varó, Enrique Velasco,

Organ Donation and Transplantation

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.