Acceptance of marginal liver donors increases the volume of liver transplant: Early results of a single-center experience

S. Gruttadauria, D. Cintorino, L. Mandala', A. Musumeci, R. Volpes, G. B. Vizzini, U. Palazzo, M. Spada, R. Verzaro, B. Gridelli

Research output: Contribution to journalArticlepeer-review

Abstract

To expand the donor pool, clinicians are continually modifying criteria to accept organs, particularly those in the so-called expanded or marginal donor pool. The concept and definition of a marginal donors continues to evolve. The impact of their use is the result of a combination of donor and recipient factors. Most clinicians accept steatosis above 30%, donor age over 60 years, prolonged ischemia time, prolonged intensive care unit stay, hypernatremia, previous cardiac arrest, prolonged episodes of hypotension, large use of inotrope drugs, and elevated liver function tests as criteria for designation of a marginal organ. In June 2003, we started to use marginal donors each year tripling the number of transplants per year at our center.

Original languageEnglish
Pages (from-to)2567-2568
Number of pages2
JournalTransplantation Proceedings
Volume37
Issue number6
DOIs
Publication statusPublished - 2005

ASJC Scopus subject areas

  • Surgery
  • Transplantation

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