Machine perfusion of the liver: Putting the puzzle pieces together

doi:10.3748/wjg.v27.i34.5727

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Sep 14, 2021; 27(34): 5727-5736
Published online Sep 14, 2021. doi: 10.3748/wjg.v27.i34.5727

Table 1 Potential benefits of the different modalities of machine perfusion of the liver on clinical studies

	Safety and feasibility	Prevention of early allograft dysfunction	Prevention of biliary complications	Prolonged preservation time	Viability assessment	Therapeutic interventions
Normothermic regional perfusion¹	Yes[11,19,46]	Yes[11,19,46]	Yes[11,19,46]	No data available yet	Yes[11,46]	No data available yet
Normothermic machine perfusion	Yes[2,6,21,42,50,51]	Yes[2,6,42]	No data available yet	Yes[2,6]	Yes[6,24,26,50,51]	Yes[43]²
Subnormothermic machine perfusion	No data available yet	No data available yet	No data available yet	No data available yet	No data available yet	No data available yet
Hypothermic machine perfusion	Yes[3,37]	Yes[3,37]	Yes[3,22,37]	Yes[39]²	Yes[34]	No data available yet
Controlled oxygenated rewarming	Yes[9,47]	Yes[9,47]	No data available yet	No data available yet	No data available yet	No data available yet
Combined modalities (HMP + NMP)	Yes[14,15]	No data available yet	No data available yet	Yes[39]²	Yes[14,15]	No data available yet
Ischaemia-free liver transplantation³	Yes[12,48]	Yes[48,49]	No data available yet	No data available yet	No data available yet	No data available yet

¹Only suitable for donors after circulatory death.

²Only pre-clinical studies available so far.

³Only suitable for donors after brain death. HMP: Hypothermic machine perfusion; NMP: Normothermic machine perfusion.

Citation: Boteon YL, Martins PN, Muiesan P, Schlegel A. Machine perfusion of the liver: Putting the puzzle pieces together. World J Gastroenterol 2021; 27(34): 5727-5736
URL: https://www.wjgnet.com/1007-9327/full/v27/i34/5727.htm
DOI: https://dx.doi.org/10.3748/wjg.v27.i34.5727