Utilizing ECMO cannula exchange to facilitate abdominal DCD- NRP organ procurement- technical considerations for successful liver transplantation
Introduction: Normothermic regional perfusion (NRP) has developed to maximize organ utilization following declaration of circulatory death (DCD). Potential donors on extracorporeal membrane oxygenation (ECMO), who have not met brain death criteria, represent a unique cohort who may benefit from DCD-NRP. Technical challenges regarding perfusion cannula positioning have not previously been described. We present three cases of successful liver transplantation following abdominal DCD-NRP with ECMO cannula exchange.
Authors
- Giuliano Testa (ORCID: https://orcid.org/0000-0001-9535-9961)
- Johanna Bayer (ORCID: https://orcid.org/0000-0003-3071-5755)
- Kara A. Monday
- Juan Sebastian Danobeitia (ORCID: https://orcid.org/0000-0003-1641-3822)
- Eric J. Alfaro Martínez (ORCID: https://orcid.org/0000-0003-2180-6268)
- Anji Wall (ORCID: https://orcid.org/0000-0002-7359-1337)
- Amar Gupta (ORCID: https://orcid.org/0000-0001-6444-9999)
- Seung Hee Lee (ORCID: https://orcid.org/0000-0002-1508-4732)
- Gary S. Schwartz (ORCID: https://orcid.org/0000-0001-6274-1945)
- Andrew Jacques
Institutions
- Baylor University Medical Center (US)
Publication Details
- Journal
- American Journal of Transplantation
- Published
- 2025-01-01
- DOI
- https://doi.org/10.1016/j.ajt.2024.12.164
- Primary Topic
- Organ Transplantation Techniques and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00