This pediatric-focused review summarizes how machine perfusion is being applied in pediatric liver transplant programs, with emphasis on the operational and clinical rationale for expanding graft utilization. It discusses where HOPE/D-HOPE may be most impactful (higher-risk donors, partial/split graft workflows, and complex logistics), while outlining the current evidence base and the remaining gaps that require prospective validation.
Parente A, Perito ER, Agopian VG, Hertl M, Emamaullee J, Eshmuminov D, Yuzefovych Y. Efficiency of machine perfusion in pediatric liver transplantation. Hepatobiliary Surg Nutr. 2024 Apr 29;13(3):469-480. doi: 10.21037/hbsn-23-559. PMID: 38619390.
