Datta N.,Section of Reconstructive Transplantation |
Yersiz H.,University of California at Los Angeles |
Kaldas F.,University of California at Los Angeles |
Azari K.,Section of Reconstructive Transplantation |
Azari K.,University of California at Los Angeles
Current Opinion in Organ Transplantation | Year: 2015
Purpose of review The purpose of this article is to identify the unique aspects of combined multiorgan and vascularized composite allograft (VCA) procurement from deceased donors and outline the steps essential for success. Recent findings Transplantation of nonsolid organ composite tissues is becoming a viable option for reconstruction of massive tissue defects. With the United Network for Organ Sharing designation of VCAs as organs, placing them under the domain of the Organ Procurement and Transplantation Network, a systematic method for combined solid organ and VCA procurement is required. Several centers have reported experience with successful procurement strategies including sequential and simultaneous retrievals. The published literature describing donor screening, sequence of procurement with relation to solid organs and allocation is reviewed. Summary With the 2013 classification of VCAs as organs, the Organ Procurement and Transplantation Network and United Network for Organ Sharing are better suited to aligning procurement and allocation policies. As VCA transplantation becomes more commonplace, protocol guidelines will ensure smooth integration with existing procurement infrastructure. © 2015 Wolters Kluwer Health, Inc. All rights reserved.