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. 2022 Dec 13;17:111–120. doi: 10.1016/j.xjtc.2022.11.014

Table 1.

Modified Maastricht classification of donation after circulatory death

Category Circumstances Definition
I. Uncontrolled Found dead
IA. Out of hospital
IB. In hospital
Sudden unexpected circulatory arrest without any attempt of resuscitation by a medical team
II. Uncontrolled Witnessed cardiac arrest
IIA. Out of hospital
IIB. In hospital
Sudden unexpected irreversible circulatory arrest with unsuccessful resuscitation by a medical team
III. Controlled Withdrawal of life-sustaining therapy Planned WLST; expected circulatory arrest
IV. Uncontrolled/controlled Circulatory arrest after neurological determination of death. Sudden circulatory arrest after neurological determination of death diagnosis during donor management but before planed organ recovery

WLST, Withdrawal of life-sustaining therapy.