ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2022 American Transplant Congress
    • 2021 American Transplant Congress
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2021 Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Search

Outcomes of Donation after Cardiac Death Liver Grafts from Donors ≥ 50 Years of Age: A Multi-Center Analysis

K. P. Croome,1 A. K. Mathur,3 D. D. Lee,1 A. A. Moss,3 C. B. Rosen,2 J. K. Heimbach,2 C. B. Taner.1

1Mayo Clinic Florida, Jacksonville, FL
2Mayo Clinic Rochester, Rochester, MN
3Mayo Clinic Arizona, Scottsdale, AZ.

Meeting: 2018 American Transplant Congress

Abstract number: D272

Keywords: Bile duct, Donors, Ischemia, marginal, non-heart-beating

Session Information

Session Name: Poster Session D: Late Breaking

Session Type: Poster Session

Date: Tuesday, June 5, 2018

Session Time: 6:00pm-7:00pm

 Presentation Time: 6:00pm-7:00pm

Location: Hall 4EF

Introduction:As the population in the United States continues to age, an increase in the number of potential DCD donors with advanced chronological age can be expected. The aim of this study was to analyze a multi-institutional experience in liver transplantation using DCD donor age ≥50 years.

Methods: All DCD LT performed at Mayo Clinic Florida, Mayo Clinic Rochester and Mayo Clinic Arizona from 2002-2016 were included. Recipients of DCD LT were divided into 2 groups: those with donor age ≥50 years(N=155) and those with donor age <50 years(N=316).

Results: Graft survival was similar between the DCD donor age ≥50 group and DCD donor age <50 group(p=0.99). Graft survival at 1-, 3- and 5-years was 87.0%, 75.6% and 71.8% in the DCD donor age ≥ 50 group and 85.8%, 76.0% and 70.4% in the DCD donor age < 50 group. The rate of total biliary complications (32.3%vs.23.7%; p=0.049) and of anastomotic strictures (16.1%vs.8.2%; p=0.01), were higher in the DCD donor age ≥50 compared to the DCD donor age <50 group. No statistical significant difference in the rate of IC (11.6%vs.7.6%; p=0.15) was seen between the two groups. Due to homogeneous practice patterns at the involved institutions, additional Cox regression analysis using national data obtained from SRTR was used to evaluate predictors of graft failure in DCD donor age ≥50 years. Significant predictors of graft failure included: a calculated MELD score ≥30 (p<0.001), mechanical ventilation at the time of transplant (p<0.001), medical condition (in ICU) (p=0.002) and CIT (p<0.001).

Conclusion: The present study demonstrates that acceptable graft and patient survival can be achieved with the usage of DCD LT with donor age ≥50 years. Optimizing recipient selection criteria and minimizing CIT may further improve outcomes.

CITATION INFORMATION: Croome K. P., Mathur A. K., Lee D. D., Moss A. A., Rosen C. B., Heimbach J. K., Taner C. B. Outcomes of Donation after Cardiac Death Liver Grafts from Donors ≥ 50 Years of Age: A Multi-Center Analysis Am J Transplant. 2017;17 (suppl 3).

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Croome KP, Mathur AK, Lee DD, Moss AA, Rosen CB, Heimbach JK, Taner CB. Outcomes of Donation after Cardiac Death Liver Grafts from Donors ≥ 50 Years of Age: A Multi-Center Analysis [abstract]. https://atcmeetingabstracts.com/abstract/outcomes-of-donation-after-cardiac-death-liver-grafts-from-donors-50-years-of-age-a-multi-center-analysis/. Accessed May 9, 2025.

« Back to 2018 American Transplant Congress

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2025 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy | Terms of Use | Cookie Preferences