Consensus statement on normothermic regional perfusion in donation after circulatory death: Report from the European Society for Organ Transplantation’s Transplant Learning Journey
Ina Jochmans, Amelia J. Hessheimer, Arne Neyrinck, David Paredes, Maria Irene Bellini, John H. Dark, Hendrikus J. A. N. Kimenai, Liset Pengel, Christopher J.E. Watson, ESOT Workstream 04 of the TLJ (Transplant Learning Journey) project, Massimo Abelli, Corinne Antoine, Benoı̂t Barrou, Irene Bello, Karlien Degezelle, Julie De Beule, Riccado De Carlis, Jeroen de Jonge, Stein Foss, Volkert A.L. Huurman, Simon Knight, Guillaume Lebreton, Didier Ledoux, Alex Manara, Eduardo Miñambres, Filip Rega, Antonio Rubino, Marian Ryan, Édouard Sage, Éric Savier, Paul Schotsmans, Elena Ticozelli, Katrien Vandendriessche, Marinella Zanierato
Abstract
Normothermic regional perfusion (NRP) in donation after circulatory death (DCD) is a safe alternative to in situ cooling and rapid procurement. An increasing number of countries and centres are performing NRP, a technically and logistically challenging procedure. This consensus document provides evidence-based recommendations on the use of NRP in uncontrolled and controlled DCDs. It also offers minimal ethical, logistical and technical requirements that form the foundation of a safe and effective NRP programme. The present article is based on evidence and opinions formulated by a panel of European experts of Workstream 04 of the Transplantation Learning Journey project, which is part of the European Society for Organ Transplantation.