How long can an organ be outside the body before being transplanted? (2024)

April 7, 2022 iAbout donation

It depends on the organ.

How long can an organ be outside the body before being transplanted? (1)

When an organ is regenerated (removed from the body), it no longer receives oxygenated blood and tissues and cells begin to break down. If the cells and tissues of the organ are damaged too much, the organ does not function or does not function properly. To slow decomposition, organs are rinsed with a preservative solution and cooled to a temperature between 32 and 39 degrees Fahrenheit. This process slows the breakdown of cells and creates a period of time during which the organ can be outside the body without causing irreversible damage.

Even if organs are cooled to slow the breakdown of cells, the organ can be outside the body for only a few hours and still be transplantable. Each organ has a specific time frame within which it must be transplanted after restoration:

  • Heart: 4 – 6 hours
  • Lungs: 4 – 8 hours
  • Liver: 8-12 hours
  • Pancreas: 12-18 hours
  • Intestines: 8 – 16 hours
  • Kidneys: 24-36 hours

Thoracic organs (heart and lungs) are the most sensitive to a lack of blood flow, so they have the shortest period in which they can be outside the body and still be successfully transplanted. Kidneys are extremely resilient, can be stored in the refrigerator for more than a day and are fully functional after transplantation.

Where do these time guidelines come from?

OfUnited network for organ sharing(UNOS) works with the transplant community to create policies that will save as many lives as possible. Their policy is intended to give every patient an equal opportunity to receive an organ, regardless of gender, age, ethnicity, religion, lifestyle or economic/social status.

The number of hours organs can be outside the body and still be viable for transplantation is determined by UNOS. To identify these timelines, considerations such as organ complexity, vulnerability/resilience, and outcomes of previous transplant recipients are taken into account. The health and safety of the recipients is always the highest priority.

Organs that are outside the body for longer than the predetermined time cannot be transplanted. Even when cooled, these organs would suffer tissue and cell damage that would significantly reduce their function, or become so damaged that they would no longer function at all.

How long can an organ be outside the body before being transplanted? (2024)

FAQs

How long can an organ be outside the body before being transplanted? ›

While kidneys can typically survive outside the body for 24 to 36 hours, livers, intestines and pancreata only last on average for about 12 to 18 hours. Hearts and lungs have even shorter cold ischemic time limits, typically lasting outside the body for four to six hours on average.

How long can organs stay outside the body before being transplanted? ›

Organ preservation

Hearts and lungs must be transplanted within approximately four hours after being removed from the donor. Livers can be preserved between 12 - 18 hours; a pancreas can be preserved 8 - 12 hours; intestines can be preserved approximately 8 hours; kidneys can be preserved 24 - 48 hours.

How long do organs remain viable after they are removed from the body? ›

"The kidneys, on the other hand, are very resilient." Harvested kidneys can remain viable for 24 to 36 hours in cold storage, longer than any of the other top-four transplant organs. Lungs can remain viable for 6 to 8 hours, Lima said, and the liver can remain in cold storage for about 12 hours, according to Dr.

What is the time frame for transplanting organs? ›

Preserving organs

Kidneys are usually transplanted within 36 hours after removal from the donor. The liver, pancreas, and intestinal organs are typically transplanted within 12 hours. Hearts and lungs have the shortest preservation time; they are usually transplanted within six hours.

How long can the heart be viable outside the human body how quickly does the transplant have to proceed ?)? ›

Each organ has a specific timeframe in which it must be transplanted after it has been recovered: Heart: 4 – 6 hours. Lungs: 4 – 8 hours. Liver: 8 – 12 hours.

Which organ can never be transplanted? ›

Organs that have been successfully transplanted include the heart, kidneys, liver, lungs, pancreas, intestine, and thymus. Some organs, like the brain, cannot be transplanted. Tissues include bones, tendons (both referred to as musculoskeletal grafts), cornea, skin, heart valves, nerves and veins.

What is the dead donor rule? ›

The dead donor rule is an ethical norm related to deceased organ donation that is often expressed as (1) organ donors must be dead before procurement of organs begins; or (2) organ procurement itself must not cause the death of the donor.

What organ transplant has the lowest success rate? ›

Lung transplant patients have the lowest 5- and 10-year survival rates, according to UNOS. “The lungs are a very difficult organ to transplant because they're exposed to the environment constantly as we breathe,” explained Dr. Steves Ring, Professor of Cardiovascular and Thoracic Surgery. Dr.

Which organ is alive after death? ›

The brain and nerve cells require a constant supply of oxygen and will die within a few minutes, once you stop breathing. The next to go will be the heart, followed by the liver, then the kidneys and pancreas, which can last for about an hour. Skin, tendons, heart valves and corneas will still be alive after a day.

What disqualifies you from receiving an organ transplant? ›

Severe local or systemic infection. Severe neurologic deficits. Major psychiatric illness or active substance abuse that cannot be managed sufficiently to allow post-transplant care and safety.

What is the hardest organ transplant to get? ›

Lungs are the most difficult organ to transplant because they are highly susceptible to infections in the late stages of the donor's life. They can sustain damage during the process of recovering them from the donor or collapse after surgeons begin to ventilate them after transplant.

What is the hardest transplant to recover from? ›

“A lung transplant is second only to an intestinal transplant for having some of the most complicated outcomes,” says Jason Turowski, MD, Brian's pulmonologist. “We will find a way to solve what many others say is not solvable.”

What is the 6 month rule for transplants? ›

Traditionally, being liver transplant candidate requires “six months of abstinence” from alcohol. However, the so-called “six-month rule” may not save some of life especially in severe ALHep patients. We validated the impact of the “six-month rule” on post-transplant outcomes.

What is the longest living heart transplant patient? ›

The Guinness Book of World Records has confirmed a Dutch man as the world's longest-surviving heart transplant recipient. Bert Janssen, 57, has lived with a donor heart for 39 years and more than 252 days. Mr. Janssen was diagnosed with cardiomyopathy at age 17.

Why can't you transplant a brain? ›

The living brain is soft and squishy, and it is too easily damaged to attempt to scoop it out from one skull and plop it into another. Trying to transplant an isolated brain would also entail reconnecting numerous delicate cranial nerves, which would be challenging.

Why can't you live as long after a heart transplant? ›

Following your transplant, the walls of the arteries in your heart may thicken and stiffen, resulting in cardiac allograft vasculopathy. This can impede blood flow through your heart, resulting in a heart attack, heart failure, arrhythmias, or sudden cardiac death.

Can organs be kept alive outside the body? ›

But It's Not in a Body Anymore. Perfusion keeps a donated organ alive outside the body, giving surgeons extra time and increasing the number of transplants possible.

What is the final rule in organ transplant? ›

The Final Rule is a national policy in the United States that dictates the protocol for all cadaveric organ donation. The Final Rule replaced a variety of local and regional protocols with a unified policy for the first time.

Can organs be grown outside the body? ›

Engineered extracellular matrices and stem cells to regenerate organs outside the human body are also being used. Clinically, various adult stem cell therapies are readily under practice. This review will focus on the regeneration of organs through various types of stem cells and tissue engineering techniques.

Can you transplant organs from a dead body? ›

Organ donation is possible after brain death is confirmed. In some cases, people who will die very soon of heart and lung failure may be able to donate organs.

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