Advances in Machine Perfusion for Liver Transplantation: Mechanisms, Clinical Evidence, and Future Directions
Abstract
Liver transplantation is the definitive treatment for end-stage liver disease, acute liver failure, and selected hepatic malignancies, but its success is limited by a persistent shortage of suitable donor organs. This has driven increased use of extended criteria donors (ECDs), including steatotic and donation after circulatory death (DCD) grafts, which are more susceptible to preservation injury and often inadequately supported by traditional static cold storage (SCS). Machine perfusion (MP) ha [...]