Vascularized Composite Allografts (VCAs) involve the transplantation of multiple structures that may include skin, bone, muscles, blood vessels, nerves and connective tissue. The most commonly known type of VCAs are for hand and face transplants. Federal regulations for VCAs became effective in July 2014. This groundbreaking form of therapy returns vital function and identity to people who have suffered a devastating injury or illness.
VCA requires a specific authorization, separate from a standard donor registration. Authorization for VCA is never assumed as part of a registration to be an organ, eye and tissue donor. VCA authorization must be specifically stated by an individual on his/her donor registration or by the legal next-of-kin if authorizing the donation at the time of death.