{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T14:32:53Z","timestamp":1787495573034,"version":"build-2736575974"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T00:00:00Z","timestamp":1711584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Normothermic regional perfusion (NRP) represents an innovative technology that improves the outcomes for liver and kidney recipients of donation after circulatory determination of death (DCD) organs but protocols for abdominal\u2010only NRP (A\u2010NRP) DCD are lacking in the US.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We describe the implementation and expansion strategies of a transplant\u2010center\u2010based A\u2010NRP DCD program that has grown in volume, geographical reach, and donor acceptance parameters, presented as four eras.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the implementation era, two donors were attempted, and one liver graft was transplanted. In the local expansion era, 33% of attempted donors resulted in transplantation and 42% of liver grafts from donors who died within the functional warm ischemic time (fWIT) limit were transplanted. In the Regional Expansion era, 25% of attempted donors resulted in transplantation and 50% of liver grafts from donors who died within the fWIT limit were transplanted. In the Donor Acceptance Expansion era, 46% of attempted donors resulted in transplantation and 72% of liver grafts from donors who died within the fWIT limit were transplanted. Eight discarded grafts demonstrated a potential opportunity for utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The stepwise approach to building an A\u2010NRP program described here can serve as a model for other transplant centers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.15297","type":"journal-article","created":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T06:46:31Z","timestamp":1711608391000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Stepwise development and expansion of an abdominal normothermic regional perfusion program for donation after circulatory determination of death organ procurement"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7359-1337","authenticated-orcid":false,"given":"Anji","family":"Wall","sequence":"first","affiliation":[{"name":"Annette C. and Harold C. Simmons Transplant Institute Baylor University Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya","family":"Arunachalam","sequence":"additional","affiliation":[{"name":"Texas A&amp;M College of Medicine Dallas Regional Campus  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6930-0453","authenticated-orcid":false,"given":"Eric","family":"Martinez","sequence":"additional","affiliation":[{"name":"Annette C. and Harold C. Simmons Transplant Institute Baylor University Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Ruiz","sequence":"additional","affiliation":[{"name":"Annette C. and Harold C. Simmons Transplant Institute Baylor University Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoylan","family":"Fernandez","sequence":"additional","affiliation":[{"name":"Annette C. and Harold C. Simmons Transplant Institute Baylor University Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Bayer","sequence":"additional","affiliation":[{"name":"Annette C. and Harold C. Simmons Transplant Institute Baylor University Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amar","family":"Gupta","sequence":"additional","affiliation":[{"name":"Annette C. and Harold C. Simmons Transplant Institute Baylor University Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory J","family":"McKenna","sequence":"additional","affiliation":[{"name":"Annette C. and Harold C. Simmons Transplant Institute Baylor University Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung\u2010Hee","family":"Lee","sequence":"additional","affiliation":[{"name":"Annette C. and Harold C. Simmons Transplant Institute Baylor University Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley","family":"Adams","sequence":"additional","affiliation":[{"name":"Southwest Transplant Alliance  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Butler","sequence":"additional","affiliation":[{"name":"Southwest Transplant Alliance  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Noesges","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Baylor University Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Duncan","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Baylor University Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7817-992X","authenticated-orcid":false,"given":"Murphy","family":"Rayle","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Baylor University Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kara","family":"Monday","sequence":"additional","affiliation":[{"name":"Department of General Surgery Baylor University Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Baylor University Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9535-9961","authenticated-orcid":false,"given":"Giuliano","family":"Testa","sequence":"additional","affiliation":[{"name":"Annette C. and Harold C. Simmons Transplant Institute Baylor University Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2018.12.013"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-020-06341-7"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000003345"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.12927"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/XCS.0000000000000880"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000000070"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.5772\/intechopen.84771"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41586-018-0047-9"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.25818"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000004280"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/LVT.0000000000000156"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.16899"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znad099"}],"container-title":["Clinical Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.15297","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T07:10:38Z","timestamp":1713769838000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ctr.15297"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,28]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1111\/ctr.15297"],"URL":"https:\/\/doi.org\/10.1111\/ctr.15297","archive":["Portico"],"relation":{},"ISSN":["0902-0063","1399-0012"],"issn-type":[{"value":"0902-0063","type":"print"},{"value":"1399-0012","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,28]]},"assertion":[{"value":"2023-11-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e15297"}}