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Updated: Jul 1, 2025
Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
Published on: August 15, 2022
Normothermic regional perfusion procurement for abdominal organ donors: techniques and troubleshooting
Stephanie Silpe1, Eric Martinez, Anji Wall
1Baylor University Medical Center, Dallas, Texas, USA.
Purpose Of Review:
Normothermic regional perfusion (NRP) is a novel procurement technique for donation after circulatory death (DCD) in the United States. It was pioneered by cardiothoracic surgery programs and is now being applied to abdominal-only organ donors by abdominal transplant programs. Multiple technical approaches can be used for abdominal-only NRP DCD donors and this review describes these techniques.
Recent Findings:
NRP has been associated with higher utilization of organs, particularly liver and heart grafts, from DCD donors and with better recipient outcomes. There are lower rates of delayed graft function in kidney transplant recipients and lower rates of ischemic cholangiopathy in liver transplant recipients. These benefits are driving increased interest from abdominal transplant programs in using NRP for DCD procurements.
Summary:
This paper describes the technical aspects of NRP DCD that allow for maximization of its use based on different donor and policy characteristics.
