Donation after circulatory death: the current state and technical approaches to organ procurement

Abstract

Purpose of review: In this review, we discuss the current state of donation after circulatory death (DCD). We define the DCD donor and describe the current protocols in management of the DCD patient. We then discuss current techniques in organ procurement of the lung and abdominal organs.

Recent findings: Although donation after brain death is preferable to DCD, recent data have demonstrated acceptable early outcomes in both thoracic and abdominal organ transplant. In spite of advancements in surgical techniques and organ preservation, much has yet to be learned to minimize warm ischemia time and reperfusion injury in the DCD population.

Summary: In light of the continually growing disparity between organ supply and demand, DCD has regained traction as a means to increase the donor pool.