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Within the DCD group, kidneys with IFTA 2 had inferior 5-year graft survival (P=.037). Compared to DBD kidneys, DCD kidneys developed a greater degree of fibrotic changes on 1-year post-transplant surveillance biopsy, which affected graft longevity within the DCD cohort. Compared to DBD kidneys, DCD kidneys developed a greater degree of fibrotic changes on 1-year post-transplant surveillance biopsy, which affected graft longevity within the DCD cohort. Cardiac sarcoidosis is an increasingly common indication for a heart transplant,