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Topics:
Hepatology • Transplant Hepatology
How do you decide which patient and with which device to pursue machine perfusion for the organ of a liver transplant recipient?
What other patient factors and nuances do you take into consideration in patient selection and use of specific perfusion options (ex: normothermic vs. hypothermic)?
Answer from: at Academic Institution
Choosing the machine perfusion type depends on multiple factors:
patient factors - anticipating a very complex surgery (certain redo, very complex anatomy, etc.)
organ factors - Marginal organs (older DCD, Fatty livers, now in general most of the DCD).
The type of perfusion is typically depen...
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Answer from: at Academic Institution
In general, these are the principles I consider to pump livers prior to transplant:
Patient comorbidities: Even if the donor is ideal and the surgery is not expected to be challenging, minimizing the risk of reperfusion injury and early allograft dysfunction is important in patients with coronary...