What's the extended criteria donor category for liver transplants?

Non-standard donor: The use of expanded criteria liver donors is not as well established as in kidney donation. They include livers from donors with hepatitis c, inactive hepatitis b, steatosis (fatty liver), donation after cardiac death, older (>70) donors, split liver transplants. Not every organ is usable or appropriate for every patient. Ecd livers carry a higher rate of complications.

Out regular criteria: Liver transplantation is done on the basis of who needs first, using 'model for end stage liver disease' (meld) not who is first in the line as in the kidney transplantation, when living doner available ( like relative ) then it is extended criteria for l t even though with less meld score , and no waiting time.

May be higher risk: Use of extended criteria donor livers has expanded dramatically in recent years as the need for transplant organs increases. There are two types: high risk from donor social history or high risk from donor physiology. High medical history risk includes donor history of drug use, prostitution, incarceration, previous cancer, alcoholism. Physiology includes fatty liver, injury at death, older age.

Riskier criteria: Too few organs to save the lives of all who need a liver forces us to offer organs that we might not consider acceptable. The "extension" of the criteria range may be based on age (a donor > 70 years?), social risk (did the donor use drugs recently?) or other issue. If we don't use an organ that would have been reasonable, another person dies. Informed consent is the key. Speak with your team.