Donor Heart and Lung Procurement: A Consensus Statement

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Published 21 April 2020

Hannah Copeland, MD; J.W. Awori Hayanga, MD, MPH; Arne Neyrinck, MD, PhD; Peter MacDonald, MD; Goran Dellgren, MD, PhD; Alejandro Bertolotti, MD; Tam Khuu, PharmD; Fay Burrows, Bpharm; Jack G. Copeland, MD; Danyel Gooch, BSN, RN; Amy Hackmann, MD; David Hormuth, MD; Christa Kirk, MD; Virginia Linacre, MD; Haifa Lyster, PharmD; Silvana Marasco, MD; David McGiffin, MD; Priya Nair, MD; Axel Rahmel, MD; Michael Sasevich, MD; Martin Schweiger, MD; Aleem Siddique, MD; Timothy J. Snyder, C.P.T.C. CCEMTP; William Stansfield, MD; Steven Tsui, MD; Yishay Orr, MD; Patricia Uber, PharmD; Rajimyer Venkateswaran, MD; Jasleen Kukreja, MD; Michael Mulligan, MD

J Heart Lung Transplant. June 2020;39(6):501-517

  • Advanced Heart Failure & Transplantation
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Heart and lung procurements are multiphased processes often accompanied by an array of complex logistics and approaches to donor evaluation and management, organ procurement, and organ preservation vary among individual procurement teams. Because early graft failure remains a major cause of mortality in contemporary thoracic organ transplant recipients, this consensus document seeks to establish some standardization in the procurement process.

This international consensus document is designed to serve as a guide for physicians, surgeons, and other providers who manage donors to best optimize the clinical status for the procurement of both heart and lungs for transplantation.

This consensus document covers donation after brain death (DBD) and donation after circulatory determination death (referred to as donation after circulatory death [DCD]) in adults for both heart and lung transplantation. Information regarding surgical technique for procurement is also included, although data is limited on DCD heart donation.

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