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Updated: Jul 14, 2026

Porcine Liver Transplantation Without Veno-Venous Bypass As an Extended Criteria Donor Model
Published on: August 17, 2022
Expanding donor options: marginal, living, and split donors
Richard Foster1, Michael Zimmerman, James F Trotter
1Division of Gastroenterology/Hepatology, University of Colorado Health Sciences Center, 4200 E. 9th Avenue, Denver, CO 80262, USA.
The acceptance of marginal liver grafts, organs with higher risks, is increasing in the US. This trend allows more liver transplantations, including extended criteria donor, split-liver, and living-donor options.
Area of Science:
- Hepatology
- Transplantation Surgery
Background:
- Liver transplantation is crucial for end-stage liver disease.
- Increasing organ demand necessitates the use of marginal grafts.
- Marginal grafts pose higher risks of poor function or failure.
Purpose of the Study:
- To discuss the expanding use of marginal liver grafts in transplantation.
- To review different types of marginal liver grafts and their application.
Main Methods:
- Review of current practices in liver transplantation centers.
- Discussion of extended criteria donor liver transplantation.
- Analysis of split-liver and living-donor liver transplantation techniques.
Main Results:
- Growing acceptance of marginal grafts is observed in the US.
- Broadening criteria for liver transplantation are being adopted.
- Encouraging results support the use of these grafts.
Conclusions:
- Marginal liver grafts are increasingly utilized due to encouraging outcomes.
- Extended criteria donor, split-liver, and living-donor approaches expand transplant options.
- Careful selection and management are key to successful marginal graft transplantation.
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