The nonstandard liver, a hidden resource that cannot be overlooked: implications for the identification of the best recipient.
We described the characteristics of livers already labeled as marginal, nonstandard, or selected with extended criteria: donors of elderly age, steatosis, hemodynamic instability, long cold ischemia time, high serum Na, HbcAb-positive status, HCVAb-positive status. Recipients characteristics (gender, UNOS status, MELD score, indication for transplantation) and their best possible match to nonstandard donors were evaluated with a report of the recent guidelines and the specific algorithms to optimize recipient identification.
Avolio
A W
AW
Transplant Unit, A. Gemelli Catholic University of Rome, Italy. alfonso.avolio@rm.unicatt.it
Agnes
S
S
Nure
E
E
Gasbarrini
A
A
Siciliano
M
M
Pompili
M
M
Castagneto
M
M
D000465:Algorithms; D005260:Female; D006085:Graft Survival / Q000502:physiology; D006801:Humans; D008107:Liver Diseases / Q000145:classification / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods* / Q000502:physiology / Q000706:statistics & numerical data; D008297:Male; D018579:Patient Selection; D014019:Tissue Donors / Q000706:statistics & numerical data* / Q000600:supply & distribution*; D016896:Treatment Outcome