How do you determine which patients are good candidates to have their organ receive machine perfusion therapy before implantation?

Machine perfusion is being used more and more for DCD grafts resulting in less incidence for ischemic cholangiopathy, thus allowing more DCD organs to be considered and used. Transplant programs are using machine perfusion for more complicated surgical cases such as retransplants and in order to utilize more "extended" donors such as grafts with greater cold ischemic times and greater degrees of steatosis. Machine perfusion has also probably aided overall surgical outcomes by allowing transplants to be started at more reasonable times of the day instead of in the middle of the night. This is also helping the wellness of our anesthesiology and transplant surgical candidates, as well as the operative teams. Ongoing studies need to continue to...