Table 1 Reasons for discard of donated livers

From: Long-term ex situ normothermic perfusion of human split livers for more than 1 week

Liver number

Blood group

Donor type

Cause of death

Reason for discard

1

A

DBD

Cardiac arrest, asthma

30–60% steatosis on biopsy

2

B

DCD

Traumatic brain injury

DCD*, age

3

O

DCD

Traumatic brain injury

DCD, time to cessation of circulation >30 min

4

B

DCD

Intracranial haemorrhage

DCD, age

5

O

DBD

Hypoxia, cardiac arrest

Medically unsuitable, biliary sepsis, cholecystostomy

6

A

DBD

Cerebral oedema, sepsis, multiorgan failure

Deranged LFTs

7

O

DCD

Hypoxia, cardiac arrest, aspiration

DCD, age, time to cessation of circulation >30 min

8

O

DCD

Hypoxia, respiratory failure requiring veno-venous extracorporeal membrane oxygenation

DCD, weight, comorbidities

9

A1

DCD

Hypoxia, cardiac arrest.

DCD, acuity of transplant activity, concurrent DBD donor

10

O

DBD

Intracranial haemorrhage

Poor flush, donor surgeon assessed as not suitable for transplantation

  1. *Criteria for acceptance of DCD organs: Age <50, time to cessation of circulation <30 min.
  2. DBD donation after brain death, DCD donation after circulatory determination of death.