دورية أكاديمية
Hypothermic Oxygenated Machine Perfusion of Liver Grafts from Brain-Dead Donors.
العنوان: | Hypothermic Oxygenated Machine Perfusion of Liver Grafts from Brain-Dead Donors. |
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المؤلفون: | Patrono D; General Surgery 2U - Liver Transplant Unit, A.O.U. Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy., Surra A; General Surgery 2U - Liver Transplant Unit, A.O.U. Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy., Catalano G; General Surgery 2U - Liver Transplant Unit, A.O.U. Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy., Rizza G; General Surgery 2U - Liver Transplant Unit, A.O.U. Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy., Berchialla P; Department of Clinical and Biological Sciences, University of Turin, Turin, Italy., Martini S; Gastrohepatology Unit, A.O.U. Città della Salute e della Scienza di Torino, Turin, Italy., Tandoi F; General Surgery 2U - Liver Transplant Unit, A.O.U. Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy., Lupo F; General Surgery 2U - Liver Transplant Unit, A.O.U. Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy., Mirabella S; General Surgery 2U - Liver Transplant Unit, A.O.U. Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy., Stratta C; Anesthesia Department 2, A.O.U. Città della Salute e della Scienza di Torino, Turin, Italy., Salizzoni M; General Surgery 2U - Liver Transplant Unit, A.O.U. Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy., Romagnoli R; General Surgery 2U - Liver Transplant Unit, A.O.U. Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy. renato.romagnoli@unito.it. |
المصدر: | Scientific reports [Sci Rep] 2019 Jun 27; Vol. 9 (1), pp. 9337. Date of Electronic Publication: 2019 Jun 27. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: London : Nature Publishing Group, copyright 2011- |
مواضيع طبية MeSH: | Brain Death* , Graft Survival* , Hypothermia, Induced* , Liver Transplantation*/methods , Organ Preservation* , Oxygenators*, Perfusion/*methods, Aged ; Bayes Theorem ; Female ; Humans ; Liver Function Tests ; Male ; Middle Aged ; Perfusion/instrumentation ; Postoperative Complications ; Tissue Donors ; Vascular Resistance |
مستخلص: | Hypothermic oxygenated machine perfusion (HOPE) was introduced in liver transplantation (LT) to mitigate ischemia-reperfusion injury. Available clinical data mainly concern LT with donors after circulatory-determined death, whereas data on brain-dead donors (DBD) are scarce. To assess the impact of end-ischemic HOPE in DBD LT, data on primary adult LTs performed between March 2016 and June 2018 were analyzed. HOPE was used in selected cases of donor age >80 years, apparent severe graft steatosis, or ischemia time ≥10 hours. Outcomes of HOPE-treated cases were compared with those after static cold storage. Propensity score matching (1:2) and Bayesian model averaging were used to overcome selection bias. During the study period, 25 (8.5%) out of 294 grafts were treated with HOPE. After matching, HOPE was associated with a lower severe post-reperfusion syndrome (PRS) rate (4% versus 20%, p = 0.13) and stage 2-3 acute kidney injury (AKI) (16% versus 42%, p = 0.046). Furthermore, Bayesian model averaging showed lower transaminases peak and a lower early allograft dysfunction (EAD) rate after HOPE. A steeper decline in arterial graft resistance throughout perfusion was associated with lower EAD rate. HOPE determines a significant reduction of ischemia reperfusion injury in DBD LT. |
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تواريخ الأحداث: | Date Created: 20190629 Date Completed: 20201023 Latest Revision: 20210110 |
رمز التحديث: | 20221213 |
مُعرف محوري في PubMed: | PMC6597580 |
DOI: | 10.1038/s41598-019-45843-3 |
PMID: | 31249370 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2045-2322 |
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DOI: | 10.1038/s41598-019-45843-3 |