The incidence of delayed graft function (DGF) was less in the machine perfusion group compared to cold storage (20.8% vs 26.5% respectively, P = 0.01) but if DGF developed, it was 3 days shorter with machine perfusion (10 days vs 13 days, P = 0.04). The most interesting result of this study was that the 1-year kidney graft survival rate was significantly greater in the machine perfusion group (94% vs 90%, P = 0.04). The superiority of the machine perfusion technology was shown regardless of deceased donor category. No differences were noted in patient survival, length of hospital stay, acute rejection, or calcineurin inhibitor toxicity between the 2 groups. Seriously, Ice????
The interest in machine perfusion for preservation of kidney transplants has been revived. Were we serious when we decided to put the organ in ice??? A recent NEJM prospective, controlled trial randomizing 336 consecutive deceased donors to either machine prefusion or static cold storage preservation showed the advantage of technology!!!