Abstract
Normothermic ex-vivo perfusion with the Organ Care System (OCS) during the INSPIRE Trial demonstrated reduced primary graft dysfunction (PGD) when compared to cold storage. However en-bloc lung retrieval after OCS perfusion was the standard of care. The cold ischemic time for the second lung was increased waiting for first lung implantation and second lung pneumonectomy. Accordingly, we modified the surgical technique performing a sequential retrieval from the OCS device in an attempt to reduce PGD rates.
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