TTS Pulse Podcast

The Transplantation Society

🎙️ TTS Pulse Podcasts – Brought to you by the TTS Education Committee, this podcast series delivers the latest insights, innovations, and inspiration from across the transplant world. Tune in for expert interviews, trending topics, educational highlights, and everything you need to know now in transplantation. From the cutting edge to the everyday, TTS Pulse keeps your finger on the pulse of what's happening.

  1. Jul 13

    Episode 29: Behind the Paper: Tx Improves Survival in a PD-first Program | Behind the Paper

    In this episode of Behind the Paper, Macey Levan, Social Media Editor for the Transplantation journals, speaks with Robert Freercks and Kathryn Manning about their article: Transplantation Improves Patient Survival in a PD-first Program in South Africa The discussion focuses on kidney replacement therapy and transplantation access in a public sector renal program in South Africa. The study followed patients with kidney failure referred to a public sector renal unit and highlights the major impact of resource constraints, strict selection criteria, and limited transplantation capacity. The episode explores South Africa’s PD-first model, the challenges faced by patients who need kidney replacement therapy, and the barriers that remain even for patients who are accepted into dialysis care. The authors emphasize that transplantation dramatically improves survival when patients are able to access it, but that broader system-level improvements are needed to expand treatment capacity and improve equity. The conversation also highlights the importance of primary prevention, stronger data collection systems, policy advocacy, and increased funding in resource-constrained settings. Read the article: https://journals.lww.com/transplantationdirect/fulltext/10.1097/txd.0000000000001914~transplantation-improves-patient-survival-in-a-pd-first Presented by Transplantation Direct and the Transplantation journals. Powered by the PULSE Podcast. #TransplantationDirect #KidneyTransplantation #SouthAfrica

    Episode 29: Behind the Paper: Tx  Improves Survival in a PD-first Program | Behind the Paper
  2. Jul 13

    Episode 28: Behind the Paper: Antiobesity Interventions in Living Organ Donor Candidates | Behind the Paper

    In this episode of Behind the Paper, Macey Levan, Social Media Editor for the Transplantation journals, speaks with Babak J. Orandi, MD, about the article: Antiobesity Interventions in Living Organ Donor Candidates: Ethical and Policy Considerations The discussion focuses on the ethical and policy questions raised by antiobesity interventions for living organ donor candidates. Dr. Orandi explains how obesity can affect donor eligibility and why weight management should be approached as long-term care rather than simply meeting a temporary BMI threshold to enable donation. The episode explores the four major principles of bioethics — autonomy, beneficence, non-maleficence, and justice — and how they apply to living donor evaluation. Dr. Orandi also discusses the growing role of GLP-1 medications, access to treatment, donor safety, and legal and ethical concerns related to funding weight-loss interventions before donation. The conversation highlights the importance of sustainable obesity management, better long-term follow-up data, and updated guidance from transplant societies as antiobesity therapies become more widely used. Read the article: https://journals.lww.com/transplantjournal/abstract/10.1097/tp.0000000000005719~antiobesity-interventions-in-living-organ-donor-candidates?redirectionsource=fulltextview Presented by Transplantation and the Transplantation Journals. Powered by the PULSE Podcast. #Transplantation #LivingDonation #ObesityMedicine

    Episode 28: Behind the Paper: Antiobesity Interventions in Living Organ Donor Candidates | Behind the Paper
  3. Jul 13

    Episode 27: Behind the Paper: Sequential NRP and NMP in DCD Liver Transplantation | Behind the Paper

    In this episode of Behind the Paper, Macey Levan, Social Media Editor for the Transplantation journals, speaks with Rohit Gaurav, FRCS, about his article: Sequential In Situ Normothermic Regional Perfusion and Ex Situ Normothermic Machine Perfusion in Controlled Donation After Circulatory Death Liver Transplantation: A Retrospective Single-center Experience The discussion focuses on the use of sequential normothermic regional perfusion, or NRP, and normothermic machine perfusion, or NMP, in controlled donation after circulatory death liver transplantation. Dr. Gaurav explains how DCD livers have historically presented challenges due to hypoxia, ischemia, and biliary complications, and how NRP and NMP can help transplant teams assess organ function and improve liver utilization. The episode explores lactate clearance, liver enzyme assessment, post-reperfusion outcomes, biliary complications, and the role of machine perfusion in expanding the safe use of DCD organs. Dr. Gaurav also discusses how implementation of these techniques has increased DCD liver utilization at his center and how this approach is shaping broader practice in the United Kingdom. Read the article: https://journals.lww.com/transplantjournal/abstract/10.1097/tp.0000000000005659~sequential-in-situ-normothermic-regional-perfusion-and-ex?redirectionsource=fulltextview Presented by Transplantation and the Transplantation Journals. Powered by the PULSE Podcast. #Transplantation #LiverTransplantation #DCD

    Episode 27: Behind the Paper: Sequential NRP and NMP in DCD Liver Transplantation | Behind the Paper
  4. Jul 1

    Episode 25: Behind the Paper: Transplant Surgery: Sustaining a Workforce at a Critical Juncture | Dimitrios Morris

    In this Behind the Paper episode, Macey Levan, Social Media Editor for the *Transplantation* journals, interviews Dimitrios Morris, MD about the key insights from: 📄 **Transplant Surgery: Sustaining a Workforce at a Critical Juncture** Commentary Published in *Transplantation* (July 2026) This commentary examines the growing challenges facing the transplant surgery workforce at a time when the field continues to evolve through innovation, increasing clinical complexity, and expanding expectations. The conversation explores why workforce sustainability is not only a matter of surgeon well-being, but also essential to maintaining organ utilization, equity, and public trust. The episode highlights: 🔹 Why transplant surgery is facing declining interest among general surgery residents 🔹 How unpredictable schedules and high-acuity care contribute to workforce strain 🔹 Why fellowship training must better reflect the realities of modern transplant practice 🔹 How academic promotion pathways can better recognize transplant surgeons’ contributions 🔹 The importance of clinical excellence, applied scholarship, and systems leadership 🔹 Why attracting ambitious, idealistic, and resilient future leaders is critical to the field’s future Dr. Morris emphasizes that sustaining the transplant surgery workforce will require structural reform, not simply individual resilience. The discussion also highlights reasons for optimism, including continued innovation in machine perfusion, expanding surgical techniques, and the field’s growing ability to treat more complex disease processes. 📖 Read the full article: https://journals.lww.com/transplantjournal/fulltext/2026/07000/transplant_surgery__sustaining_a_workforce_at_a.5.aspx

    Episode 25: Behind the Paper: Transplant Surgery: Sustaining a Workforce at a Critical Juncture | Dimitrios Morris
  5. Jul 1

    Episode 24: Behind the Paper: Sex Disparities in Transplantation Access & Outcomes | Bethany Foster

    In this Behind the Paper episode, Macey Levan, Social Media Editor for the *Transplantation* journals, interviews Bethany Foster, MD, a pediatric nephrologist and professor at McGill University, about the key insights from: 📄 Sex Disparities in Transplantation Access and Outcomes: An Overview Review Article Published in *Transplantation* (April 2026) This review explores how sex disparities affect access to and outcomes after solid organ transplantation, including kidney, heart, liver, and lung transplantation. The conversation examines the barriers women may face throughout the transplant journey, from referral and waitlisting to transplantation and post-transplant outcomes. The episode highlights: 🔹 How women may experience reduced access to transplant evaluation, waitlisting, and transplantation 🔹 Why sex disparities appear more pronounced in older age groups 🔹 How unconscious or conscious bias may influence clinical decision-making 🔹 The role of perceived frailty, obesity, and risk assessment in transplant access 🔹 How biologic differences and gendered behaviors may affect outcomes after transplant 🔹 Why more objective referral criteria and allocation systems are important for improving equity Dr. Foster emphasizes that women benefit significantly from transplantation, but that achieving equitable access and outcomes requires a better understanding of both systemic and biologic factors. The discussion underscores the need for continued research, policy updates, and a shared commitment from transplant professionals to reduce disparities across the transplant pathway. 📖 Read the full article: https://journals.lww.com/transplantjournal/abstract/2026/04000/sex_disparities_in_transplantation_access_and.18.aspx

    Episode 24: Behind the Paper: Sex Disparities in Transplantation Access & Outcomes | Bethany Foster
  6. Apr 8

    Episode 23: Behind the Paper: Travel After Transplant | Robert Rolfe, MD

    In this Behind the Paper episode, Macey Levan, Social Media Editor for the Transplantation journals, interviews Robert Rolfe, MD about the key insights from: 📄 **Travel After Transplant: Demographics, Travel Trends, and Vaccination Practices of US Immunocompromised Travelers** Original Clinical Science—General Published in *Transplantation* (April 2026) This study describes the largest reported cohort of immunocompromised post-transplant travelers to date, drawing on data from **17 US clinical sites** collected between **2009 and 2023**. The conversation explores how international travel is evolving among transplant recipients and why pretravel preparation is especially important for this higher-risk population. The episode highlights: 🔹 How travel patterns differ for immunocompromised post-transplant travelers compared with other travelers 🔹 Why visiting friends and relatives and cruise travel were more commonly reported in this group 🔹 The added complexity of pretravel counseling for transplant recipients 🔹 How immunocompromise influences vaccine decision-making before international travel 🔹 Why understanding travel trends in this population is essential to improving preparation, prevention, and outcomes This discussion offers an important look at a growing area of transplant medicine, where individualized risk assessment, practical guidance, and preventive care can make travel safer for immunocompromised patients. 📖 Read the full article: https://journals.lww.com/transplantjournal/abstract/2026/04000/travel_after_transplant__demographics,_travel.28.aspx

    Episode 23: Behind the Paper: Travel After Transplant | Robert Rolfe, MD
  7. Mar 18

    Episode 22: Behind-the-Paper - The Inaugural Richard Slayman International Workshop on Xenotransplantation

    In this Behind the Paper episode, Macey Levan, MD and Leonardo V. Riella, MD discuss the key insights from: 📄 Advancing Hope Through Science: The Inaugural Richard Slayman International Workshop on Xenotransplantation Meeting Report – Published in *Transplantation* (February 2026) This landmark workshop brought together more than 140 participants from North America, Europe, and Asia to examine the latest advances—and the remaining challenges—in translating xenotransplantation from bench to bedside. Framed by the legacy of Richard Slayman, the first living recipient of a genetically edited pig kidney, this conversation explores how patient courage, scientific collaboration, and careful clinical design are helping move the field from possibility toward reality. The episode highlights: 🔹 Why patient selection is critical in early xenotransplantation trials 🔹 How genetic editing is helping overcome immune incompatibility 🔹 The evolving role of immunosuppression, including complement inhibition and CD154 blockade 🔹 New molecular tools for immune and infectious surveillance 🔹 The importance of transparency, ethics, and global collaboration 🔹 What the next 5–10 years may look like for kidney xenotransplantation This discussion offers an important look at one of the most promising and complex frontiers in transplantation—where innovation, safety, and patient-centered care must advance together. 📖 Read the full paper: https://journals.lww.com/transplantjournal/fulltext/9900/advancing_hope_through_science__the_inaugural.1314.aspx

    Episode 22:  Behind-the-Paper  - The Inaugural Richard Slayman International Workshop on Xenotransplantation

About

🎙️ TTS Pulse Podcasts – Brought to you by the TTS Education Committee, this podcast series delivers the latest insights, innovations, and inspiration from across the transplant world. Tune in for expert interviews, trending topics, educational highlights, and everything you need to know now in transplantation. From the cutting edge to the everyday, TTS Pulse keeps your finger on the pulse of what's happening.

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