There are SO many variables. For those that have experienced the process, it’s amazing that they happen at all.
But, since your asking, the transplant centres can have almost 100% control over the receiver, insuring that they are as healthy as possible.
At the other end, there is zero control over the donor. If a person dies and donates, there is no way of knowing a comprehensive medical background. The organs have a “shelf life” and are harvested quickly. The organ is then assigned to a receiver based on rudimentary marching of sine variables. The receiver begins prep to get the organ and while the organ is in transit, it is tested further. If a problem such as disease is detected but is deemed still treatable once in the host, the host is made aware and has final say if they want want the risk. So, they fail because there will always be holes in the system.
That’s a nutshell for you.
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