Recommendations for donation after circulatory death kidney transplantation in Europe.
Donation after circulatory death (DCD) donors provides an invaluable source for kidneys for transplantation. Over the last decade, we have observed a substantial increase in the number of DCD kidneys, particularly within Europe. We provide an overview of risk factors associated with DCD kidney function and survival and formulate recommendations from the sixth international conference on organ donation in Paris, for best-practice guidelines. A systematic review of the literature was performed using Ovid Medline, Embase and Cochrane databases. Topics are discussed, including donor selection, organ procurement, organ preservation, recipient selection and transplant management.
Department of Surgery, Academic Medical Centre, Amsterdam, The Netherlands.
L W Ernest
LW
van Heurn
Department of Liver/Renal Transplant, Freeman Hospital, Newcastle Upon Tyne, UK.
David
D
Talbot
Department of Surgery, NIHR Cambridge Biomedical Research Centre, Cambridge, UK.
Michael L
ML
Nicholson
Oxford Transplant Centre, University of Oxford, Oxford, UK.
Mohammed Z
MZ
Akhtar
Department of Nephrology, Hospital Clínico Universitario San Carlos, Madrid, Spain.
Ana I
AI
Sanchez-Fructuoso
Department of Nephrology-Dialysis-Transplantation, University of Liège, CHU Sart Tilman, Liège, Belgium.
Laurent
L
Weekers
Department of Urology - Transplantation, GHzu Pitié Salpêtriere, Paris, France.
Benoit
B
Barrou
D015992:Body Mass Index; D001926:Brain Death; D002648:Child; D003404:Creatinine / Q000097:blood; D003643:Death; D046148:Donor Selection; D005060:Europe; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation / Q000706:statistics & numerical data*; D015999:Multivariate Analysis; D009926:Organ Preservation / Q000706:statistics & numerical data*; D010477:Perfusion; D051437:Renal Insufficiency / Q000601:surgery; D012306:Risk; D012307:Risk Factors; D014019:Tissue Donors; D009927:Tissue and Organ Procurement; D052096:Warm Ischemia
D003404:Creatinine
donation after cardiac death; donation after circulatory death; guidelines; kidney; nonheart beating donation; review