Reply: Tying off brain vessels: Can that be ok?

We appreciate the comments and analysis of Peled and Bernat,1 whose contributions to the ethics of organ donation we recognize and value. Our paper was a consensus document from the Cardiothoracic Ethics Forum and represents the majority view of the Forum participants.2 Some participants agreed with Peled and Bernat's position, so we raised and discussed similar concerns in our paper, including the view that additional study is needed for deeper scientific understanding of brain function in thoracoabdominal normothermic regional perfusion (TA-NRP).