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Donation and Transplantation History

  • Azathioprine, the first immunosuppression drug, is used to prevent rejection of transplanted organs.

  • First successful kidney transplant from a deceased organ donor.

  • First organ recovered from a brain-dead donor.

  • Tissue antigen (HLA type) matching between donors and recipients reported as the standard to achieve the best deceased donor kidney transplant outcomes.

  • First successful pancreas transplant performed (along with a kidney transplant).

  • Antilymphocyte serum introduced to extend organ survival in kidney (1966) and liver (1967) transplants. This drug helped prevent the rejection of transplanted organs.

  • First successful liver transplant performed.

  • Paul Terasaki reported on the crossmatch test for kidney transplants between donors and recipients; started first organ sharing organization in Los Angeles.

  • The first successful heart transplant from a donor after cardiac death (DCD) was performed.

  • First definition of “brain death” based on clinical neurological criteria became the basis for “brain death” laws in all 50 states.

  • The first organ procurement organization (OPO), New England Organ Bank, was established. It was the first entity dedicated solely to identifying deceased donors in the local area.

  • Uniform Anatomical Gift Act (UAGA) established the first Uniform Donor Card as a legal document of gift in all 50 states. The UAGA also identified who could donate a deceased person's organs, and allowed people over 18 to donate their organs upon death.

  • First successful lung transplant performed.

  • UDDA defines death as the irreversible loss of blood flow and breathing or irreversible loss of all brain activity and functions.

  • First combined heart/bilateral lung transplant performed.

  • First successful single-lung transplant performed.

  • The Food and Drug Administration approved cyclosporine (discovered in 1976). This drug reduces the potential for organ rejection

  • The National Organ Transplant Act (PL 98-507) was established. This law made it illegal to sell human organs.

  • Required Request law. Allowed families the chance to donate deceased family members organs.

  • The first OPTN contract is awarded by the U.S. Department of Health and Human Services to the United Network for Organ Sharing.

  • First successful intestine transplant performed.

  • First successful split-liver transplant performed.

  • FDA approves Belzer University of Wisconsin’s organ preservation solution, allowing organs to be in cold storage for almost double the time.

  • First successful living donor liver transplant performed.

  • First successful living donor lung transplant performed.

  • The first kidney paired donation (KPD) exchange transplant performed.

  • First living donor kidney removed by laparoscopic surgery.

  • The Centers for Medicare & Medicaid Services (CMS) issued Hospital Conditions of Participation in Medicare and Medicaid programs. This requires hospitals to refer all deaths and approaching deaths to the local organ procurement organization.

  • First successful hand transplant performed.

  • Children’s Health Act (PL 106-310)changed the National Organ Transplant Act to require the OPTN to adopt criteria and policies that address children’s unique needs.

  • First successful partial face transplant performed.

  • First successful full face transplant performed.

  • The first live birth after uterus transplantation from a living donor occurred.

  • First HIV-Positive to HIV-Positive kidney transplant.

  • First live birth after uterus transplantation from a deceased donor occurred.

  • First organ transport and delivery by drone.

  • The first COVID-19 patient receives a double lung transplant.