{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:05:55Z","timestamp":1777496755838,"version":"3.51.4"},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,9,10]],"date-time":"2022-09-10T00:00:00Z","timestamp":1662768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The shortage of donors' livers for pediatric recipients inspired the search for alternatives including donation after cardiac death (DCD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of pediatric liver transplant (PLT) using DCD grafts. Patients were divided into either FLG or RLG recipients. Pre\u2010transplant recipient parameters, donor parameters, operative parameters, post\u2010transplant recipient parameters, and outcomes were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 14 PLTs from DCD donors between 2005 and 2018 were identified; 9 FLG and 5 RLG. All donors were Maastricht category III. Cold ischemia time was significantly longer in RLG (8.2\u00a0h vs. 6.2\u2009h; <jats:italic>p<\/jats:italic>\u00a0=\u2009.038). Recipients of FLG were significantly older (180\u00a0months vs. 7\u2009months; <jats:italic>p<\/jats:italic>\u00a0=\u2009.012) and waited significantly longer (168\u2009days vs. 22\u2009days; <jats:italic>p<\/jats:italic>\u00a0=\u2009.012). Recipients of RLG tended to be sicker in the immediate pre\u2010transplant period and this was reflected by the need for respiratory or renal support. There was no significant difference between groups regarding long\u2010term complications. Three patients in each group survived more than 5\u2009year post\u2010transplant. One child was re\u2010transplanted in the RLG due to portal vein thrombosis but failed to survive after re\u2010transplant. One child from FLG also died from a non\u2010graft\u2010related cause.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Selected DCD grafts are an untapped source to widen the donor pool, especially for sick recipients. In absence of agreed criteria, graft and recipient selection for DCD grafts should be undertaken with caution.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14385","type":"journal-article","created":{"date-parts":[[2022,9,10]],"date-time":"2022-09-10T10:48:58Z","timestamp":1662806938000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Long\u2010term outcomes of pediatric liver transplantation using organ donation after circulatory death: Comparison between full and reduced grafts"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3434-6459","authenticated-orcid":false,"given":"Amr","family":"Alnagar","sequence":"first","affiliation":[{"name":"Liver Unit Birmingham Women's and Children's Hospital NHS Foundation Trust  Birmingham UK"},{"name":"General Surgery Department, Faculty of Medicine Alexandria University  Alexandria Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darius F.","family":"Mirza","sequence":"additional","affiliation":[{"name":"Liver Unit Birmingham Women's and Children's Hospital NHS Foundation Trust  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Muiesan","sequence":"additional","affiliation":[{"name":"Liver Unit Birmingham Women's and Children's Hospital NHS Foundation Trust  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evelyn","family":"G. 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