Machine Perfusion and normothermic regional perfusion can Improve Both Utilization and Outcomes in Liver Transplantation

• Published in: Japanese Journal of Transplantation Vol. 58; no. Supplement; p. s127_1
• Main Authors: Itoh, Shinji, Tsutsui, Yuriko, Yoshiya, Shohei, Yoshizumi, Tomoharu, Ninomiya, Miuzki, Toshima, Takeo, Izumi, Takuma, Iseda, Norifumi, Toshida, Katsuya, Ishikawa, Takuma, Yuki, Bekki, Nakayama, Yuuki
• Format: Journal Article
• Language: English
• Published: The Japan Society for Transplantation 2023; 一般社団法人 日本移植学会
• ISSN: 0578-7947; 2188-0034
• DOI: 10.11386/jst.58.Supplement_s127_1

The aim of this study was to examine the influence of machine perfusion (MP) and normothermic regional perfusion (NRP) on the utilization and outcomes of liver transplantation (LT). Using US national data, 4642 donation after circulatory death (DCD) donors between 2016 and 2021 were analyzed. 4542 were with static cold storage(SCS), 79 were with MP(1.7%), and 21 were with NRP(0.5%).The utilization rates of liver in DCD with MP or NRP were significantly higher (P=0.001; 92.4% or 95.2% vs 70.4%). There were no graft failure with primary nonfunction or ischemic cholangiopathy after LT with MP or NRP. MP or NRP significantly increased the utilization rate of livers with favorable outcomes after LT. Increasing use of MP or NRP should be considered in low utilization donors to expand donor pool.