When a patient does not have a family member, loved one or other individual willing and able to donate a liver, a transplant from a deceased donor is the only option. Deceased donor livers come from people who have died suddenly, usually from an accident or bleed into the brain. These individuals are usually between one and 70 years of age and have been relatively healthy before their death. These people have previously expressed to their families a willingness to donate their organs, or their families have made the decision to donate their organs so that someone else will have a chance to live a better life.
It isn’t necessary to match the donor and recipient for age, sex or race. All donors are screened for hepatitis viruses and the HIV virus. What’s more, all deceased donor organs are tested extensively to help ensure that they don’t pose a health threat to the recipient. Also, many studies – such as ABO blood type and HLA matching – are performed to ensure that the organs are functioning properly.
As soon as a deceased donor is declared brain-dead, the liver is removed and transplanted in the body of the recipient who is registered in the waiting list of Deceased donor Liver transplantation. The waiting list is maintained by NATIONAL ORGAN & TISSUE TRANSPLANTATION ORGANISATION (NOTTO) and by Artemis Hospitals. The national organization is responsible for fairly prioritizing recipients as organs become available for transplant. Priority is based on several factors, including:
-ABO blood type