{
  "abstract": "Long-distance transportation can prolong cold ischemia and complicate the utilization of deceased-donor kidneys, particularly in geographically dispersed transplant systems. We report, to our knowledge, the first clinical implementation in Vietnam of portable hypothermic machine perfusion (HMP) during interregional kidney transport. A kidney from a 61-year-old expanded-criteria deceased donor was allocated to a 42-year-old man with end-stage renal disease who had been receiving hemodialysis for 2 years following failure of a previous kidney allograft. The graft was transported over 1,000 km by ground transfer and scheduled commercial flight and was preserved using a LifePort Kidney Transporter with KPS-1 solution under pressure-controlled HMP at 30 mmHg. Total cold ischemia time was 10 h 50 min. From HMP initiation to arrival, renal vascular resistance decreased from 1.68 to 0.44 mmHg/mL/min, while perfusate flow increased from 16 to 52 mL/min. Despite three separate renal arteries and a second warm ischemia time of 55 min, the graft produced urine immediately after reperfusion. The recipient required no dialysis during the first postoperative week and maintained stable graft function at 6 months, with a serum creatinine of 142 µmol/L and an estimated glomerular filtration rate of approximately 55 mL/min/1.73 m2. This case demonstrates the operational feasibility of portable HMP for long-distance, interregional deceased-donor kidney sharing in Vietnam.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Pediatric Surgery and Abdominal Emergency, Hue Central Hospital, Hue, Vietnam",
    "Department of Urology B, Hue Central Hospital, Hue, Vietnam",
    "Department of Thoracic and Cardiovascular Surgery, Hue Central Hospital, Hue, Vietnam",
    "Department of Urology A, Hue Central Hospital, Hue, Vietnam"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Hiep Nhu Pham"
    },
    {
      "affs": [
        0
      ],
      "name": "Xuan Thanh Nguyen"
    },
    {
      "affs": [
        1
      ],
      "name": "Khanh Ngoc Tran"
    },
    {
      "affs": [
        2
      ],
      "name": "Dung Duc Nguyen"
    },
    {
      "affs": [
        3
      ],
      "name": "Anh Van Quoc Nguyen"
    },
    {
      "affs": [
        1
      ],
      "name": "Kha Cong Le Bui"
    },
    {
      "affs": [
        3
      ],
      "name": "Hung Ngoc Pham"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/44vvzhg3pwq0f.bib",
  "cited_by": 0,
  "doi": "10.3389/frtra.2026.1982759",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13731269/",
  "id": "44vvzhg3pwq0f",
  "issns": [
    "2813-2440"
  ],
  "landing_url": "https://doi.org/10.3389/frtra.2026.1982759",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Case Report"
    ],
    [
      "openalex",
      "2746|Organ Transplantation Techniques and Outcomes"
    ]
  ],
  "openalex": "W7223101450",
  "pdf_url": "https://www.frontiersin.org/journals/transplantation/articles/10.3389/frtra.2026.1982759/pdf",
  "pmcid": "PMC13731269",
  "pmid": "42984769",
  "published": "2026-10-21",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/44vvzhg3pwq0f.ris",
  "sources": [
    {
      "first_seen": "2026-11-08T12:21:29Z",
      "native_id": "PMC13731269",
      "source": "pmc",
      "url": "https://doi.org/10.3389/frtra.2026.1982759"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Organ Transplantation Techniques and Outcomes",
      "subfield": "surgery"
    }
  ],
  "title": "Case Report: Portable hypothermic machine perfusion for interregional deceased-donor kidney sharing in Vietnam",
  "title_text": "Case Report: Portable hypothermic machine perfusion for interregional deceased-donor kidney sharing in Vietnam",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T12:21:29Z",
  "url": "https://research.draconitic.com/paper/44vvzhg3pwq0f",
  "venue": "Frontiers in Transplantation",
  "versions": []
}