The Future of heart procurement with donation after circulatory death: Current practice and opportunities for advancement.

Journal Article (Journal Article;Review)

Heart Donation after Circulatory Death (DCD) has the potential to significantly increase the number of patients benefitting from heart transplantation. However, the expansion of DCD heart transplantation is currently limited by unanswered questions pertaining to best practices in DCD heart procurement. Additionally, significant variability exists within regulatory frameworks, professional guidelines, and published practices of DCD procurement processes. Here we describe the current practice and outstanding questions related to fundamental aspects of DCD heart procurement, including donor selection, premortem donor intervention, ischemic definitions, confirmation of circulatory death, and techniques for heart procurement and preservation. Addressing these key issues through research and consensus recommendations will facilitate the advancement of the field and ultimately expand the opportunity for heart transplantation to a greater number of patients.

Full Text

Duke Authors

Cited Authors

  • Ayer, A; Schroder, JN; Casalinova, S; Doberne, JW; Bryner, BS; Patel, CB; DeVore, AD

Published Date

  • October 2022

Published In

Volume / Issue

  • 41 / 10

Start / End Page

  • 1385 - 1390

PubMed ID

  • 35953351

Electronic International Standard Serial Number (EISSN)

  • 1557-3117

Digital Object Identifier (DOI)

  • 10.1016/j.healun.2022.06.016


  • eng

Conference Location

  • United States