Table 1.

Comparison of modalities

EVLP modality	Initial capital investment	Cost per case	Space requirements	Transplant center staff requirements	Advantages	Disadvantages
Portable system	Significant	Supplies for case, staff pay including travel	Storage when not in use, transport space	Perfusionist(s) travel to procurements	No cold ischemic time, autonomy, may be more cost effective for high volume centers	Requires additional staff member training, availability, and travel to procurement
Transplant center system	Significant	Supplies for case, staff pay	Storage when not in use, dedicated operating room when in use	Perfusionist(s) operate device at institution	Autonomy, may be more cost effective for high volume centers, may allow for research protocols	Requires staff member training, availability, and operating room space
EVLP facility	None	Negotiated bundled fee per case	None	None	Less up-front cost and commitment, may appeal to small to medium-sized programs	Adds additional travel segment to EVLP facility, adds second cold ischemic time to travel to lung transplant center