Academic Debate: Is There a Role for Living Donor Liver Transplant in Adult Patients in the Age of Machine Perfusion?

Description

Organ access continues to evolve and is a primary challenge in caring for patients with chronic liver disease. Liver transplant indications in adults have changed over the past decade with the rise of MASLD and the decline of hepatitis C. The landscape of organ availability has concurrently shifted, including national policies, expansion of donor criteria, machine perfusion, and living donor transplant. To highlight the role of living donor transplant in this evolving context, this academic debate session features teams of hepatology trainees and practicing hepatologist debating the pros and cons of the question: Is there a role for living donor liver transplant in adult patients in the age of machine perfusion? The pro position argues that living donor transplant is effective and relevant; the con position argues that living donor transplant will no longer be needed. Debaters, judges, and attendees grapple with opposing scientific, societal, individual, and financial viewpoints on this timely issue.

Journey Maps

Presentations

3:45 PM - 3:52 PM
Nov 08 2025
Washington, D.C.

Welcome from Organizers, Introduction of Moderator and Judges

Patrick Northup, MD, FAASLD, Moderator
Trainee
Transplant
3:52 PM - 3:57 PM
Nov 08 2025
Washington, D.C.

Debate: Pro argument

Nazeer Ahmed, MD, Presenter
Trainee
Transplant
3:57 PM - 4:02 PM
Nov 08 2025
Washington, D.C.

Debate: Pro argument

Bridgette B McNally, D.O., Presenter
Trainee
Transplant
4:02 PM - 4:07 PM
Nov 08 2025
Washington, D.C.

Debate: Con argument

Ismail Elkhattib, MD, Presenter
Trainee
Transplant
4:07 PM - 4:12 PM
Nov 08 2025
Washington, D.C.

Debate: Con argument

Nadera Altork, Presenter
Trainee
Transplant
4:12 PM - 4:17 PM
Nov 08 2025
Washington, D.C.

Team Conference with Mentors - All Presenters

Patrick Northup, MD, FAASLD, Moderator
Trainee
Transplant
4:17 PM - 4:20 PM
Nov 08 2025
Washington, D.C.

Pro Rebuttal (Dr. Nazeer Ahmed and Dr. Bridgette McNally)

Nazeer Ahmed, MD, Presenter
Trainee
Transplant
4:20 PM - 4:23 PM
Nov 08 2025
Washington, D.C.

Con Rebuttal (Dr. Ismail Elkhattib and Dr. Nadera Altork)

Nadera Altork, Presenter
Trainee
Transplant
4:23 PM - 4:45 PM
Nov 08 2025
Washington, D.C.

Audience Q&A/Judges Assessment. Audience voting. Announcement of Winners and Thank Yous – results from pre- and post- votes

Patrick Northup, MD, FAASLD, Moderator
Trainee
Transplant
8:25 PM - 8:25 PM
Nov 08 2025
Washington, D.C.

*Judge

Anjana Pillai, MD, FAASLD, Panelist
Elizabeth A Pomfret, MD, PhD, Panelist
David CH Kwon, MD, PhD, Panelist
Whitney E Jackson, MD, Panelist
Trainee
Transplant

Objectives

  • Discuss care management strategies for critically ill patients awaiting liver transplant.
  • Critically appraise donor and recipient considerations including living donor transplant and machine perfusion.
  • Assess how sociocultural systems, ethical considerations, patient characteristics, and scientific advancements affect liver transplant.
Chair

Marlyn J. Mayo, MD, FAASLD

University of Texas Southwestern Medical Center
Chair

Danielle M Tholey, MD

Chair

Bishoi Aziz, MD, MSc

Western Ontario University
Chair

Alexander Kuo, MD, FAASLD

Cedars-Sinai Medical Center