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Aggressive expanded criteria protocols enable surgeons at both transplant programs to safely use more organs for transplantation. Expanded criteria organs are organs that may not meet the usual criteria for transplantation, but are nevertheless healthy enough for a successful transplant. Organs in this category include those from donors who are older, have hypertension or diabetes, who died from a stroke, or who at the time of their death suffered mild kidney injury. The use of expanded criteria organs is successful, especially among older recipients and those doing poorly on dialysis. It also allows donor organs that might go unused in one region of the country to be matched with appropriate recipients in areas of great demand (such as the New York metropolitan area).
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