TY  - JOUR
AU  - Ruaengsri, Chawannuch
AU  - Alvarez-Cortes, Miguel
AU  - Leon, Marc
AU  - Quiroz-Flores, Manuel
AU  - Shibata, Masafumi
AU  - Shudo, Yasuhiro
PY  - 2026
DA  - 2026/01/22
TI  - Balancing Preservation and Maximizing Utilization: A DCD Lung Procurement Strategy During Abdominal Normothermic Regional Perfusion
JO  - OBM Transplantation
SP  - 265
VL  - 10
IS  - 01
AB  - The increasing demand for organ transplantation has necessitated innovative strategies to maximize donor organ utilization, especially in donation after circulatory death (DCD) contexts. This article explores the integration of direct lung recovery with abdominal normothermic regional perfusion (A-NRP) to optimize organ preservation and expand the donor pool. A-NRP effectively mitigates warm ischemic injury, supporting the viability of both abdominal and thoracic organs. Our approach emphasizes meticulous surgical planning, efficient bleeding control, and seamless multidisciplinary collaboration to ensure procedure success. By combining A-NRP with state-of-the-art techniques for lung assessment and preservation, we highlight a promising pathway for enhancing graft quality and outcomes. The article discusses key logistical and ethical considerations, emphasizing the need for standardization and cooperative frameworks across transplant centers. This integrated methodology not only addresses current challenges but also sets the stage for future advancements in DCD organ transplantation, ultimately aiming to increase success rates and save more lives.
SN  - 2577-5820
UR  - https://doi.org/10.21926/obm.transplant.2601265
DO  - 10.21926/obm.transplant.2601265
ID  - Ruaengsri2026
ER  -