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Recipient and Donor Selection and Transplant Logistics: The European Perspective

  • Gabriela A. Berlakovich
  • Gerd R. Silberhumer
Chapter

Introduction

The intermediate and long-term outcomes following orthotopic liver transplantation (OLT) have improved significantly over the years, with 1- and 5-year patient survival rates of 90% and 75%, respectively. This success resulted in growing numbers of potential transplant recipients on waiting lists. The number of transplantable organs remained stable over the last decades and the increased demand could not be met. In recent years this discrepancy between patients listed for liver transplantation and available organs decreased as less candidates were entered on the waiting lists due to changes in listing policies (Fig. 8.1). Nevertheless wait list mortality remains a major problem regardless of various organ allocation policies adopted by transplant programs. This chapter will describe the current situation in Europe with special emphasis on efforts to increase the availability of liver grafts.

Keywords

MELD score Child score Organ allocation Graft procurement Donor selection Donation after cardiac death 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Gabriela A. Berlakovich
    • 1
  • Gerd R. Silberhumer
    • 1
  1. 1.Division of Transplantation, Department of SurgeryMedical University of ViennaViennaAustria

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