This randomized trial evaluates the efficacy of HOPE in liver transplants from DCD donors. The study aimed to reduce the risk of non-anastomotic biliary strictures. A total of 160 patients participated, with 78 receiving machine-perfused livers and 78 receiving livers preserved through static cold storage (SCS). The trial showed that HOPE significantly reduced the incidence of biliary strictures and post-reperfusion syndrome, along with improving early graft function.

van Rijn R, Schurink IJ, de Vries Y, et al. Hypothermic Machine Perfusion in Liver Transplantation – A Randomized Trial. N Engl J Med. 2021;384(15):1391-1401. doi:10.1056/NEJMoa2031532