PIPages
Labs

Brendan Parent

New York University, NY·Medicine & Clinical Research

More than 7,300 people with heart failure are on the US transplant waiting list. In 2022, only 35% received a heart, and hundreds died or became too sick to remain eligible.

Fields

Medicine & Clinical Research

Social Science

Public Health & Epidemiology

Topics

organ donation

organ transplantation

heart transplantation

Grants
1 known grant, through Feb 2029

What they work on

  1. Survey and interview staff from all 56 US Organ Procurement Organizations to document how they request family authorization for organ donation involving normothermic regional perfusion (NRP).
  2. Assess how donor families and the US public judge the ethics of NRP, which restarts circulation inside the donor's body after death is declared, using focus groups with donor families and a national survey.
  3. Determine whether NRP could put public trust in US organ transplantation at risk, given concerns that restarting circulation conflicts with the Dead Donor Rule and the legal definition of death.
  4. Use the Delphi method, repeated rounds of expert rating and feedback that build consensus, to develop and share ethics guidelines for explaining NRP to families asked to authorize donation.

More about the research

Hearts from donors who die after their circulation stops, called donation after circulatory death (DCD), could raise heart availability by up to 30%. However, these organs are injured during the time they go without blood flow. One fix is normothermic regional perfusion (NRP). NRP uses extracorporeal membrane oxygenation, a machine that pumps and oxygenates blood outside the body, to restart warm circulation inside the donor so organs can be protected and evaluated. But NRP also restarts the heartbeat. Some argue this undermines the declaration of death and may violate the Dead Donor Rule, the principle that donors must be dead before life-sustaining organs are removed. These concerns could threaten public trust in organ transplantation.

Why it matters

More than 100,000 people in the US with end-stage organ failure are waiting for transplants. NRP could greatly increase the number of high-quality hearts and other organs available to them. Evidence on how families and the public view NRP, combined with expert ethics guidelines, could help transplant programs and organ procurement organizations decide whether to adopt it. It could also guide how they talk with donor families in ways that protect trust in organ donation.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Investigating Donor Authorization and Public Perceptions of Normothermic Regional Perfusion to Inform Ethical Organ Donation Practices

NIH · Apr 2024 – Feb 2029

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The school

New York University: 72 labs on PI Pages, $1.5B a year on research, 540 research doctorates a year.

More about New York University

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