Deepak Vikraman

Achieving zero waitlist mortality for children on the pediatric liver transplant waitlist

Elizabeth A. KING, Carolyn Reuland, Bhargava Mullapudi, Christine Hwang et autres

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Back-to-base Versus In-transit Machine Perfusion in Donation After Circulatory Death Liver Transplantation: Insights From a National Registry

Isaac S. Alderete, Qimeng Gao, Nihal Aykun, Mohamed Mustafa Diab et autres

Background. Normothermic machine perfusion (NMP) improves utilization of extended criteria liver grafts, but the optimal delivery strategy—whether in-transit or back-to-base—remains uncertain. Methods. Adult recipients of donation after circulatory death (DCD) liver transplants between January 1, 2022, and January 1, 2024, were identified …

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Real World Perfusion Strategies Versus Static Cold Storage for Donation After Circulatory Death Liver Transplantation: A Multi-Center Analysis

Mohamed K. Diab, Carlos Pablo Quintanilha Gonçalves, Tiffany E. Maksimuk, Joseph Cleveland et autres

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Transforming the logistics of liver transplantation with normothermic machine perfusion: Clinical impact versus cost

Andrew S. Barbas, Qimeng Gao, Isaac Alderete, Nihal Aykun et autres

Normothermic machine perfusion (NMP) facilitates utilization of marginal liver allografts. It remains unknown whether clinical benefits offset additional costs in the real-world setting. We performed a comparison of outcomes and hospitalization costs for donor livers preserved by NMP versus static cold storage …

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Transforming the logistics of liver transplantation with normothermic machine perfusion: Clinical impact versus cost

Qimeng Gao, Isaac S. Alderete, Nihal Aykun, Kannan P. Samy et autres

Normothermic machine perfusion (NMP) facilitates the utilization of marginal liver allografts. It remains unknown whether clinical benefits offset additional costs in the real-world setting. We performed a comparison of outcomes and hospitalization costs for donor livers preserved by NMP versus static cold …

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Normothermic Machine Perfusion Before Backtable Ex Situ Split Procedure in Liver Transplantation

Qimeng Gao, Isaac Alderete, Isabel DeLaura, Riley Kahan et autres

Split-liver transplant (SLT) was first introduced in 1988 to increase the number of available organs for patients with end-stage liver disease (ESLD). Although conceptually attractive, this technique was not widely adopted because early studies demonstrated increased risks of biliary and vascular complications …

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Successful Heart-Liver Transplant Using Dual-organ Normothermic Perfusion in a Patient With Fontan Failure

Isaac S. Alderete, Qimeng Gao, Abigail R. Benkert, Katherine Sun et autres

Advances in surgical technique and multidisciplinary management have improved long-term survival for patients born with single ventricle physiology. However, patients who have undergone Fontan completion remain at risk for long-term comorbidities associated with the complex hemodynamic changes following the procedure, including Fontan …

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Preemptive VAE—An Important Tool for Managing Blood Loss in MVT Candidates With PMT

Deeplaxmi Borle, Samuel J. Kesseli, Andrew S. Barbas, Aparna Rege et autres

Explantation of native viscera in multivisceral transplant candidates, particularly in those with extensive portomesenteric thrombosis (PMT), carries considerable morbidity due to extensive vascularized adhesions. Preemptive visceral angioembolization has been previously described as a technique to minimize excessive blood loss during mobilization of …

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Donor–Recipient Height Mismatch Is Associated With Decreased Survival in Pediatric‐to‐Adult Liver Transplant Recipients

Samuel J. Kesseli, Mariya L. Samoylova, John Yerxa, Carrie Moore et autres

Liver grafts from pediatric donors represent a small fraction of grafts transplanted into adult recipients, and their use in adults requires special consideration of donor size to prevent perioperative complications. In the past, graft weight or volume ratios have been adopted from …

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206.1: Less wait is great! Donors with hepatitis C offer hope to kidney transplants.

Julie M. Steinbrink, Jennifer Byrns, Lana Crona, Marion Hemmersbach‐Miller et autres

Background: Improvements in the tolerability and efficacy of hepatitis C virus (HCV) direct-acting antiviral agents have dramatically increased HCV cure rates. As such, kidney transplantation from HCV-infected donors into HCV-negative recipients is now possible, and represents a potent way to increase the …

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Correlation of preoperative imaging characteristics with donor outcomes and operative difficulty in laparoscopic donor nephrectomy

Fides R. Schwartz, Brian I. Shaw, Reginald Lerebours, Federica Vernuccio et autres

This study aimed to understand the relationship of preoperative measurements and risk factors on operative time and outcomes of laparoscopic donor nephrectomy. Two hundred forty-two kidney donors between 2010 and 2017 were identified. Patients' demographic, anthropomorphic, and operative characteristics were abstracted from …

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Psychosocial Assessment of Candidates for Transplantation (PACT) Score Identifies High Risk Patients in Pediatric Renal Transplantation

Kyle Freischlag, Vivian Chen, Shashi Nagaraj, Annabelle N. Chua et autres

Background: Currently, there is no standardized approach for determining psychosocial readiness in pediatric transplantation. We examined the utility of the Psychosocial Assessment of Candidates for Transplantation (PACT) to identify pediatric kidney transplant recipients at risk for adverse clinical outcomes. Methods: Kidney transplant …

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