**6.8 DCD reperfusion strategies**

A major concern of DCD heart procurement is the potential for myocardial ischemic injury due to prolonged warm ischemic time [45]. Currently, two reperfusion strategies have been utilized to allow functional assessment of donor hearts following circulatory death: Normothermic regional perfusion (NRP) and Direct procurement and perfusion (DPP) using normothermic *ex-vivo* heart perfusion or Organ Care System (OCS) [8, 45, 46].
