Organ match characteristics

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.