However, some of the processes involved in one approach to donation after circulatory death has raised ethical concerns and questions about whether they violate the "dead donor rule" — a principle that requires patients be declared dead before removal of life-sustaining organs for transplant.
Experts in the fields of transplantation and medical ethics have yet to reach consensus, causing problems for the transplant community, who worry that this could cause a loss of confidence in the entire transplant process.
More information https://www.medscape.com/viewarticle/989937