In finding suitable recipients for donor organs Eurotransplant takes a number of characteristics into account. Some characteristics are general and some differ per organ.
General
- AB0-blood group
- Donor age
- Virology – HBsAg, HBcAb, HCVAb
- Domino donor
- Sepsis
- Meningitis
- Malignant tumor
- IV-drug Abuse
Heart
- Donor Size in combination with gender
- Virology – CMV IgG
Lung
- Total lung capacity (TLC) (combination of age, gender and height)
- Virology – CMV IgG
- Donation after cardiocirculatory death
- Donation after euthanasia
Liver
- Marginal donor
- Criteria marginal liver donor: one or more of the following points:
- Donor age > 65 years
- ICU stay with ventilation > 7 days
- BMI >30
- Steatotic liver > 40%
- Serum sodium > 165 mmol/l
- SGPT > 105 U/l
- SGOT > 90 U/l
- Serum bilirubin > 3 mg/dl
- Donor weight
- Donation after cardiocirculatory death
- Donation after euthanasia
Pancreas
- Donation after cardiocirculatory death
- Donation after euthanasia
Donor cut-off point: pancreata fulfilling one of the following criteria:
- Donor age > 50 (DBD donors from the Netherlands: > 60)
- and/orBMI ≥ 30
will be allocated for pancreas islets transplantation only instead of vascularized organ transplantation
Kidney
- Kidney en bloc (≤ 5 years; mandatory < 2 years, advised ≥ 2 years and ≤ 5 years)
- Human Leukocyte Antigen (HLA) Mismatch
- Donation after cardiocirculatory death
- Donation after euthanasia
Cut off point: Donor age ≥ 65 years will be matched via ESP match instead of ETKAS match.