Normothermic Machine Perfusion Facilitates Donation After Circulatory Death Liver Transplant In High-Risk Recipients

Introduction: Donation after circulatory death (DCD) allografts are underutilized in high-risk liver transplant (LT) recipients due to concerns for early allograft dysfunction (EAD), renal dysfunction, ischemic biliary complications, and decreased survival. Normothermic machine perfusion (NMP) can mitigate some of these challenges. We aimed to compare outcomes of high-risk LT from DCD livers preserved on NMP (DCD-NMP) to donation after brain death (DBD) livers preserved on the static cold storage (DBD-SCS).