Heart Donation after Circulatory Death (DCD) has the potential to significantly increase the number of patients benefitting from heart transplantation. However, the expansion of DCD heart transplantation is currently limited by unanswered questions pertaining to best practices in DCD heart procurement. Additionally, significant variability exists within regulatory frameworks, professional guidelines, and published practices of DCD procurement processes. Here we describe the current practice and outstanding questions related to fundamental aspects of DCD heart procurement, including donor selection, premortem donor intervention, ischemic definitions, confirmation of circulatory death, and techniques for heart procurement and preservation. Addressing these key issues through research and consensus recommendations will facilitate the advancement of the field and ultimately expand the opportunity for heart transplantation to a greater number of patients.

循环性死亡后心脏捐赠 (DCD) 有可能显着增加受益于心脏移植的患者数量。然而，DCD 心脏移植的扩展目前受到与 DCD 心脏采购最佳实践相关的未解决问题的限制。此外，监管框架、专业指南和已发布的 DCD 采购流程实践存在显着差异。在这里，我们描述了与 DCD 心脏采购的基本方面相关的当前实践和突出问题，包括供体选择、死前供体干预、缺血性定义、循环死亡的确认以及心脏采购和保存技术。