“…They additionally perfused kidneys for at least 24 h without reimplantation, suggesting the feasibility of prolonged warm perfusion by diluting the perfusate with a balanced salt solution and adding low molecular weight dextran. Thus, although some obstacles were overcome, physiological studies using the isolated kidney perfusions with blood had their limitations, including brevity of the steady-state period, low glomerular filtration rates, abnormal tubular functions, alterations in intrarenal blood flow distribution, and limited duration of survival [39,72].In the 1960 s, several investigators established the correlation between platelets, blood cell aggregates, and degradation products during blood perfusion and reported the difficulties experienced with rising perfusion pressure, tissue edema, and impaired function or no function upon reimplantation of the organ [8,16,63,96]. To avoid these difficulties, plasma was selected as a perfusate.…”