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Related Experiment Video

Updated: Nov 10, 2025

Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
09:54

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Donation after circulatory death (DCD)-lung procurement.

Suresh Keshavamurthy1, Peter Rodgers-Fischl2

  • 1Department of Surgery, Division of Cardiothoracic Surgery, Surgical Director,Lung Transplantation, University of Kentucky College of Medicine, 740 S. Limestone, A-301, Lexington, KY 40536 USA.

Indian Journal of Thoracic and Cardiovascular Surgery
|April 6, 2021
PubMed
Summary

Donation after circulatory death (DCD) offers a promising solution to the critical shortage of lungs for transplantation. Utilizing DCD lung procurement could significantly increase the availability of donor lungs, potentially by up to 50%.

Keywords:
Checklist for DCDDifferent scenariosDonation after circulatory death (DCD)Lung procurementRecent advances

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Area of Science:

  • Medicine
  • Transplantation Surgery
  • Pulmonology

Background:

  • Lung transplantation faces a severe donor organ shortage, leading to high patient attrition rates.
  • Lung procurement rates are significantly lower than other solid organs, with lungs retrieved from only 15-20% of donors.
  • Factors like neurogenic pulmonary edema, lung injury, and various complications contribute to low lung retrieval suitability.

Purpose of the Study:

  • To explore Donation after Circulatory Death (DCD) as a strategy to increase lung availability for transplantation.
  • To address the critical gap between lung donor availability and patient demand in lung transplantation.

Main Methods:

  • Review of current practices and potential of non-traditional organ donation methods.
  • Analysis of the impact of Donation after Circulatory Death (DCD) on lung procurement rates.

Main Results:

  • Donation after Circulatory Death (DCD) is an emerging category of organ donation being increasingly utilized.
  • Estimates suggest that DCD lung procurement could potentially increase the number of available lungs by up to 50%.

Conclusions:

  • Donation after Circulatory Death (DCD) represents a vital strategy to expand the donor lung pool.
  • Increased utilization of DCD donors can significantly mitigate the shortage of lungs for transplantation and reduce patient waiting list attrition.