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. 2021 Nov;13(11):6536–6549. doi: 10.21037/jtd-2021-13

Table 2. Modified Maastricht Classification of DCD (11).

Category Description Details
Category I Uncontrolled Found dead
IA. Out-of-hospital Sudden unexpected CA without any attempt of resuscitation by a life-medical team
IB. In-hospital
Category II Uncontrolled Witnessed cardiac arrest
IIA. Out-of-hospital Sudden unexpected irreversible CA with unsuccessful resuscitation life-by a life-medical team
IIB. In-hospital
Category III Controlled Withdrawal of life-sustaining therapy Planned withdrawal of life-sustaining therapy*; expected CA
Category IV Uncontrolled Controlled Cardiac arrest while life-brain dead Sudden CA after brain death diagnosis during donor life-management but prior to planned organ recovery.

*, this category mainly refers to the decision to withdraw life-sustaining therapies. Legislation in some countries allows euthanasia (medically assisted CA) and subsequent organ donation described as the fifth category. CA, circulatory arrest.