Dr. A. Osama Gaber, Director of Transplantation and Vice Chairman of Surgery, The Methodist Hospital System, Houston Texas, Texas, USA
Dr. A. Osama Gaber reviews the published data for machine perfusion in kidney transplantation, as well as data from his own center to explain how he has changed his practice to include routine machine perfusion, as soon as possible after cross clamp.
Our experience with machine preservation has evolved over time. We know now that machine preservation from the randomized studies and from our own experience decreases the incidence of delayed graft function. We know that monitoring of resistance and flow are important for us in determining the functional outcomes of the kidney, helping us select appropriate donor kidneys.