Normothermic Perfusion Machine in Liver Transplant With Cardiac Death Donor Grafts

Publication date: October 2015 Source:Cirugía Española (English Edition), Volume 93, Issue 8 Author(s): Mihai-Calin Pavel, Constantino Fondevila Campo, David Calatayud Mizrahi, Joana Ferrer Fabrega, Santiago Sanchez Cabus, Víctor Molina Santos, Josep Fuster Obregon, Juan Carlos Garcia-Valdecasas Salgado The increasing difference between the number of patients in waiting lists for liver transplantation and the number of available donors has generated a great interest in the use of non-ideal organs, like grafts obtained from cardiac death donors (DCD). However, the extreme sensibility to ischemia of these livers results in a low utilisation rate and a high percentage of post-transplant complications and re-transplantation. Normothermic perfusion machines (NMP) emerged as an alternative that tries to maintain the viability of the organ and even to improve its function. This review focuses on current results of DCD liver transplantation and on the role that NMP may have in this field.
Source: Cirugia Espanola - Category: Surgery Source Type: research