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Elderly Donors in Transplantation

  • Manuel Mendizabal
  • John W. Hsu
  • Abraham Shaked
Chapter

Abstract

At the time of the writing of this chapter the number of ­candidates on the waiting list, as designated by the United Network for Organ Sharing (UNOS), totals just over 100,000 [1]. A closer look at yearly tabulations of patients transplanted and patients newly listed shows that for about every two patients added to the transplant list, one patient is actually transplanted. Because the waiting list continues to grow, there has been increased interest in the use of expanded criteria donors (ECD). While there are many different ways to define the ECD, one universal attribute of ECD that makes it germane to the topic of this textbook is increased donor age. The aims of this chapter are to (1) examine the elderly donor evaluation and screening process in this patient population; (2) discuss the predonation management of these older patients as well as the donor procedure and technical complications that may be encountered in the procurement operation, and (3) discuss the allocation process and examine the results and outcomes in the use of these elderly organs.

Keywords

Brain Death Superior Vena Cava Live Donor Liver Transplantation Delay Graft Function Cold Ischemia Time 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Manuel Mendizabal
  • John W. Hsu
  • Abraham Shaked
    • 1
  1. 1.Division of SurgeryUniversity of Pennsylvania Transplant Institute, Hospital of the University of PennsylvaniaPhiladelphiaUSA

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