The Use of Nondirected Donor Organs in Living Donor Liver Transplantation: Perspectives and Guidance.

Interest in anonymous non-directed living organ donation is increasing in the United States and a small number of transplantation centers are accumulating an experience regarding non-directed donation in living donor liver transplantation. Herein we review current transplant policy, discuss emerging data, draw parallels from non-directed kidney donation, and examine relevant considerations in non-directed living liver donation. We aim to provide a consensus guidance to ensure safe evaluation and selection of non-directed living liver donors and a schema for just allocation of non-directed grafts.