Evidence map›Paper›PMID 40925572›Full record

ReviewPerfusion2026

Understanding donor heart preservation: Cellular mechanisms and clinical outcomes.

Yaagnik Kosuri, Morgan K Moroi, Sebastian Johannes Bauer, Anthony Campbell, Arianna Adamo, Cary Karcher, Brianna Costa, Claire Kho, Ephraim Jacobson, Shawn Lee and 3 more

Abstract readReview
In one paragraph

Review in Perfusion, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. New Perfusion and Preservation Strategies for Donor Hearts.European surgical research. Europaische chirurgische Forschung. Recherches chirurgicales europeennes · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Yaagnik KosuriDepartment of Surgery, Columbia University, New York, NY, USA.ORCID 0000-0001-8767-2165
Morgan K MoroiDepartment of Surgery, Columbia University, New York, NY, USA.
Sebastian Johannes BauerDepartment of Surgery, Columbia University, New York, NY, USA.ORCID 0000-0003-3135-3952
Anthony CampbellDepartment of Surgery, Columbia University, New York, NY, USA.
Arianna AdamoDepartment of Surgery, Columbia University, New York, NY, USA.ORCID 0000-0002-6908-6071
Cary KarcherDepartment of Surgery, Columbia University, New York, NY, USA.ORCID 0009-0000-6954-2308
Brianna CostaDepartment of Surgery, Columbia University, New York, NY, USA.
Claire KhoDepartment of Surgery, Columbia University, New York, NY, USA.
Ephraim JacobsonDepartment of Surgery, Columbia University, New York, NY, USA.
Shawn LeeDepartment of Surgery, Columbia University, New York, NY, USA.
Payam AkhyariDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University Hospital Essen, Essen, Germany.
Koji TakedaDepartment of Surgery, Columbia University, New York, NY, USA.ORCID 0000-0001-8263-1911
Giovanni FerrariDepartment of Surgery, Columbia University, New York, NY, USA.

Funding

POSTDOCTORAL TRAINING IN CARDIOVASCULAR DISEASET32HL007854 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Marwah Abdalla, Michael Argenziano · 1996 to 2026
$14.7M
POSTDOCTORAL TRAINING IN ARTERIOSCLEROSIS RESEARCHT32HL007343 · NHLBI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI HENRY N GINSBERG, Muredach P Reilly · 1985 to 2026
$12.7M
Revision to Mechanisms of accelerated calcification and structural degeneration of implantable biomaterials in pediatric cardiac surgeryR01HL163085 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Giovanni Ferrari · 2023 to 2026
$2.7M
Mitigation Strategies for Metabolic Syndrome-induced Bioprosthetic Heart Valve DegenerationR01HL170573 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Giovanni Ferrari, Robert J Levy · 2024 to 2026
$2.3M
NHLBI NIH HHS R01 HL163085NHLBI NIH HHS R01 HL170573NHLBI NIH HHS T32 HL007343NHLBI NIH HHS T32 HL007854
6 · The paper itself

Abstract

Static cold storage (SCS) on ice has remained the gold standard preservation method for heart transplantation, and prolonged cold ischemia outside the typical 4-6 hour window is associated with an increased risk of primary graft dysfunction - a consequence attributed to ischemic damage and reperfusion injury. This, unfortunately limits the travel radius for donor heart procurement, a key factor that contributes to the overall shortage of donor organs. Recent research and clinical data have illustrated the validity of other preservation systems in preserving cardiac allografts, and many of these devices have shown promise in potentially prolonging the tolerated ischemic time beyond the accepted standard. Unfortunately, little is known regarding the biological basis of these preservation systems. In this review, we explore the existing knowledge of ischemic reperfusion injury as it relates to the donor heart. We also focus on characterizing the cellular and molecular mechanisms underlying existing donor heart preservation methods, including SCS, Paragonix' SherpaPak, TransMedics' Organ Care System, and XVIVO Heart Perfusion System, highlighting current limitations and areas for improvement. Furthermore, we describe the preclinical and clinical heart transplant outcomes related to Hypothermic Oxygenated Perfusate (HOPE) preservation.

Indexed as

Heart TransplantationOrgan PreservationAnimalsHumansTissue Donorsheart transplantationhypothermic oxygenated machine perfusionischemic reperfusion injurypreservationstatic cold storage

Identifiers

PMID40925572
PMCPMC12958456

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.