Letter to the Editor: “Organ donation after ECPR: ethical challenges and clinical implications” - Takeaways - MDSpire
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Correspondence to the Editor: “Ethical Considerations and Clinical Consequences of Organ Donation Following ECPR”

  • By

  • Jose Moya Sánchez

  • Beatriz Domínguez-Gil

  • Jose Miguel Pérez Villares

  • Mario Royo-Villanova

  • August 27, 2026

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  • 1

    ECPR should be performed solely for therapeutic purposes, separating clinical decisions from organ donation considerations.

  • 2

    Concerns about donation-related pressures must be contextualized, as they do not inherently imply that donation influences clinical decisions.

  • 3

    Donor coordinators must not assess futility; their role focuses on legality, family support, and maintaining separation from end-of-life decisions.

  • 4

    Communication regarding organ donation should follow a clear sequence, ensuring families understand clinical situations before discussing donation.

  • 5

    The review's interpretation of the dead donor rule requires clarification, particularly regarding permissible premortem interventions in controlled DCDD.

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