PURPOSE OF REVIEW: Preservation of the liver via normothermic machine perfusion (NMP) is rapidly becoming an area of great academic and clinical interest. This review focuses on the benefits and limitations of NMP and where the role for static cold storage may lie. RECENT FINDINGS: Clinical studies have recently been published reporting the use of NMP in liver preservation for transplantation. They have described the technology to be well tolerated and feasible with potentially improved posttransplant outcomes. NMP facilitates extended preservation times as well as the potential to increase organ utilization through viability assessment and regeneration. However, this technology is considerably more costly than cold storage and carries significant logistical challenges. Cold storage remains the gold standard preservation for standard criteria livers with good long-term patient and graft survival. SUMMARY: NMP is an exciting new technological advancement in liver preservation, which is likely to have a positive impact in liver transplantation. However, randomized controlled trials are required to justify its inclusion into standard practice and provide evidence to support its efficacy.
PURPOSE OF REVIEW: Preservation of the liver via normothermic machine perfusion (NMP) is rapidly becoming an area of great academic and clinical interest. This review focuses on the benefits and limitations of NMP and where the role for static cold storage may lie. RECENT FINDINGS: Clinical studies have recently been published reporting the use of NMP in liver preservation for transplantation. They have described the technology to be well tolerated and feasible with potentially improved posttransplant outcomes. NMP facilitates extended preservation times as well as the potential to increase organ utilization through viability assessment and regeneration. However, this technology is considerably more costly than cold storage and carries significant logistical challenges. Cold storage remains the gold standard preservation for standard criteria livers with good long-term patient and graft survival. SUMMARY: NMP is an exciting new technological advancement in liver preservation, which is likely to have a positive impact in liver transplantation. However, randomized controlled trials are required to justify its inclusion into standard practice and provide evidence to support its efficacy.
Authors: Anirudh Sharma; Charles Y Lee; John C Bischof; Erik B Finger; Bat-Erdene Namsrai; Zonghu Han; Diane Tobolt; Joseph Sushil Rao; Zhe Gao; Michael L Etheridge; Michael Garwood; Mark G Clemens Journal: Ann Biomed Eng Date: 2022-10-01 Impact factor: 4.219
Authors: Zoltan Czigany; Wenzel Schöning; Tom Florian Ulmer; Jan Bednarsch; Iakovos Amygdalos; Thorsten Cramer; Xavier Rogiers; Irinel Popescu; Florin Botea; Jiří Froněk; Daniela Kroy; Alexander Koch; Frank Tacke; Christian Trautwein; Rene H Tolba; Marc Hein; Ger H Koek; Cornelis H C Dejong; Ulf Peter Neumann; Georg Lurje Journal: BMJ Open Date: 2017-10-10 Impact factor: 2.692
Authors: Julian Michelotto; Joseph M G V Gassner; Simon Moosburner; Vanessa Muth; Madhukar S Patel; Markus Selzner; Johann Pratschke; Igor M Sauer; Nathanael Raschzok Journal: Langenbecks Arch Surg Date: 2020-11-20 Impact factor: 3.445