Purpose of review
The purpose of this article is to identify the unique aspects of combined multiorgan
and vascularized composite allograft
from deceased donors and outline the steps essential for success.
Recent findings Transplantation
of nonsolid organ composite tissues is becoming a viable option for reconstruction of massive tissue defects. With the United Network for Organ Sharing designation of VCAs as organs, placing them under the domain of the Organ Procurement
Network, a systematic method for combined solid organ and VCA procurement
is required. Several centers have reported experience with successful procurement
strategies including sequential and simultaneous retrievals. The published literature describing donor screening, sequence of procurement
with relation to solid organs and allocation is reviewed.
With the 2013 classification of VCAs as organs, the Organ Procurement
Network and United Network for Organ Sharing are better suited to aligning procurement
and allocation policies. As VCA transplantation
becomes more commonplace, protocol
guidelines will ensure smooth integration with existing procurement