The Current Landscape of Donation After Circulatory Death Heart Transplantation—Where Do We Stand?

The growing disparity between the demand for donor hearts and their availability has reignited interest in donation after circulatory death (DCD) heart transplantation. Historically, DCD heart transplantation has been overshadowed by donation after brain death (DBD) due to ethical and preservation c...

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Main Authors: Albert Dweck, Korri S. Hershenhouse, Mayuko Uehara, Tadahisa Sugiura, Brandon E. Ferrell
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Transplantology
Subjects:
Online Access:https://www.mdpi.com/2673-3943/6/2/11
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author Albert Dweck
Korri S. Hershenhouse
Mayuko Uehara
Tadahisa Sugiura
Brandon E. Ferrell
author_facet Albert Dweck
Korri S. Hershenhouse
Mayuko Uehara
Tadahisa Sugiura
Brandon E. Ferrell
author_sort Albert Dweck
collection DOAJ
description The growing disparity between the demand for donor hearts and their availability has reignited interest in donation after circulatory death (DCD) heart transplantation. Historically, DCD heart transplantation has been overshadowed by donation after brain death (DBD) due to ethical and preservation challenges. However, recent advancements in procurement techniques allow for evaluation of the donor heart and enable the broader utilization of DCD donors. While challenges remain, early outcomes suggest comparable survival rates between DCD and DBD heart transplantation. This review provides a comprehensive overview of the historical evolution, current practices, and future directions of DCD heart transplantation. Here, we emphasize its potential to expand the heart donor pool and alleviate the organ shortage crisis.
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institution Kabale University
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publishDate 2025-04-01
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series Transplantology
spelling doaj-art-e9997674d823477c9c858c2e20fc8dc02025-08-20T03:29:38ZengMDPI AGTransplantology2673-39432025-04-01621110.3390/transplantology6020011The Current Landscape of Donation After Circulatory Death Heart Transplantation—Where Do We Stand?Albert Dweck0Korri S. Hershenhouse1Mayuko Uehara2Tadahisa Sugiura3Brandon E. Ferrell4Albert Einstein College of Medicine, Bronx, NY 10461, USAMontefiore Medical Center, Department of Cardiothoracic and Vascular Surgery, Bronx, NY 10467, USAMontefiore Medical Center, Department of Cardiothoracic and Vascular Surgery, Bronx, NY 10467, USAMontefiore Medical Center, Department of Cardiothoracic and Vascular Surgery, Bronx, NY 10467, USAMontefiore Medical Center, Department of Cardiothoracic and Vascular Surgery, Bronx, NY 10467, USAThe growing disparity between the demand for donor hearts and their availability has reignited interest in donation after circulatory death (DCD) heart transplantation. Historically, DCD heart transplantation has been overshadowed by donation after brain death (DBD) due to ethical and preservation challenges. However, recent advancements in procurement techniques allow for evaluation of the donor heart and enable the broader utilization of DCD donors. While challenges remain, early outcomes suggest comparable survival rates between DCD and DBD heart transplantation. This review provides a comprehensive overview of the historical evolution, current practices, and future directions of DCD heart transplantation. Here, we emphasize its potential to expand the heart donor pool and alleviate the organ shortage crisis.https://www.mdpi.com/2673-3943/6/2/11heart transplantationdonation after circulatory deathorgan preservationorthotopic heart transplantationprocurementnormothermic regional perfusion
spellingShingle Albert Dweck
Korri S. Hershenhouse
Mayuko Uehara
Tadahisa Sugiura
Brandon E. Ferrell
The Current Landscape of Donation After Circulatory Death Heart Transplantation—Where Do We Stand?
Transplantology
heart transplantation
donation after circulatory death
organ preservation
orthotopic heart transplantation
procurement
normothermic regional perfusion
title The Current Landscape of Donation After Circulatory Death Heart Transplantation—Where Do We Stand?
title_full The Current Landscape of Donation After Circulatory Death Heart Transplantation—Where Do We Stand?
title_fullStr The Current Landscape of Donation After Circulatory Death Heart Transplantation—Where Do We Stand?
title_full_unstemmed The Current Landscape of Donation After Circulatory Death Heart Transplantation—Where Do We Stand?
title_short The Current Landscape of Donation After Circulatory Death Heart Transplantation—Where Do We Stand?
title_sort current landscape of donation after circulatory death heart transplantation where do we stand
topic heart transplantation
donation after circulatory death
organ preservation
orthotopic heart transplantation
procurement
normothermic regional perfusion
url https://www.mdpi.com/2673-3943/6/2/11
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