Outcomes After Deceased Donor Kidney Transplantation Using Kidney Allografts With Marginal Perfusion Parameters

•Organ demand-supply discrepancy is a major rate-limiting factor in organ transplantation•Machine perfusion of donor kidneys has improved outcomes in kidney transplantation•Perfusion parameters guide decision making in accepting a renal allograft•A comprehensive organ assessment is prudent before discarding a kidney allograft•Kidney allografts should not be discarded merely based on marginal pump parameters