ArticleTransplantation direct2026
Kidneys From Older Donors After Circulatory Death Plus Normothermic Regional Perfusion or Standard Rapid Retrieval Have Comparable Function in the Context of Ex Situ Oxygenated Hypothermic Machine Perfusion.
Article in Transplantation direct, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
12 authors.
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Abstract
Background: With growing transplant waiting lists, more extended criteria donor organs are being accepted, requiring optimization of the organs to increase utilization. Abdominal normothermic regional perfusion (aNRP) benefits the outcomes of transplanted livers and pancreatic islets, but its effects on donor kidneys subsequently preserved with (oxygenated) hypothermic machine perfusion (HMPO Methods: From October 2018 until June 2023, we evaluated all ≥50 y cDCD kidneys retrieved using aNRP during a pilot implementation project and compared posttransplant outcomes of these donor kidneys to those of cDCD kidneys retrieved by standard rapid retrieval during the same period. All kidneys received HMPO Results: Data of 70 aNRP-preserved kidneys were compared with a control group of 124 kidneys. One year estimated glomerular filtration rate was comparable between groups (40.4 mL/min/1.73 m Conclusions: This study demonstrates that aNRP-preserved kidneys from cDCD donors aged 50 y and older had comparable outcomes to kidneys retrieved with standard rapid retrieval, in the context of HMPO
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