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Articles tagged "Liver preservation"

  • 2019 American Transplant Congress

    Pharmacological Enhancement of Bile Duct Preservation and Function during Ex-Situ Normothermic Machine Perfusion

    Y. L. Boteon, J. Attard, A. P. Boteon, L. Wallace, G. Reynolds, D. Mirza, H. Mergental, R. Bhogal, S. Afford

    Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom

    *Purpose: Whilst ex-situ normothermic machine perfusion (NMP) of the liver limits the ischaemic injury to the organ, benefits for biliary complications post-transplantation are not yet…
  • 2019 American Transplant Congress

    Combined Thoracic-Liver Transplants Using Normothermic Machine Perfusion for Liver Preservation: A Case Series

    M. Rizzari, K. Crombez, S. Nagai, J. Stracke, A. Al-Kurd, K. Collins, A. Yoshida, M. Abouljoud

    Henry Ford Transplant Institute, Detroit, MI

    *Purpose: There is minimal data describing combined thoracic-liver transplants (tx) with normothermic machine perfusion (NMP) used for liver preservation as the thoracic tx is done.…
  • 2019 American Transplant Congress

    Normothermic Regional Perfusion of Kidneys: A Single Non-Retrieval Centre Experience

    R. Pearson, C. Geddes, M. Clancy, J. Asher

    Renal Transplant, Queen Elizabeth University Hospital, Glasgow, Glasgow, United Kingdom

    *Purpose: With the aim of safely expanding the pool of usable donors from circulatory death (DCD) there is increasing interest in normothermic regional (NRP) perfusion…
  • 2019 American Transplant Congress

    Indocyanine Green Fluorescence Imaging during Normothermic Ex Vivo Liver Perfusion for the Assessment of Hepatocyte, Biliary, and Vascular Function

    T. Goto, I. Linares, S. Ganesh, L. Mazilescu, P. Urbanellis, N. Selzner, M. Selzner

    Multi-Organ Transplant Program, Department of Surgery, Toronto General Hospital, Toronto, ON, Canada

    *Purpose: Normothermic Ex Vivo Liver Perfusion (NEVLP) is a novel preservation for the storage and assessment of marginal grafts, such as Donation after Cardio-circulatory Death…
  • 2018 American Transplant Congress

    Improving DCD Livers Graft Function Using CD47 Blockade in the Setting of Normothermic Liver Perfusion

    S. Garcia-Aroz,1 M. Xu,1 X. Wang,1 J. Hollingshead,1 A. Khan,1 B. Banan,1 L. Kang,2 Z. Zhang,1 G. Upadhya,1 Y. Lin,1 P. Manning,3 W. Chapman.1

    1Surgery, Washington University, St. Louis; 2Pathology, Washington University, St. Louis; 3Arch Oncology, St. Louis.

    Background: Towards the goal of utilizing more livers for transplantation, transplant centers are looking to increase the use of organs from marginal donors. Livers from…
  • 2018 American Transplant Congress

    The First Series of Ischemia-Free Liver Transplantation in Human

    X. He,1 Z. Guo,1 S. Huang,1 Q. Zhao,1 Y. Tang,1 Z. Zhang,1 Z. Zhu,1 W. Ju,1 L. Yang,2 G. Chen.1

    1Organ Transplant Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China; 2Department of Anesthesiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.

    BACKGROUND&AIMS: Ischemia and reperfusion injury (IRI) is known as an inevitable event leading to early and late graft failure. We have performed the first case…
  • 2018 American Transplant Congress

    One-Pump versus Two-Pump Normothermic Ex Vivo Perfusion Machines in Discarded Human Livers

    A. Hassan, Q. Liu, D. Pezzati, A. Nassar, B. Soliman, M. Blum, P. Grady, G. Iuppa, T. Uso, J. Fung, K. Abu-Elmagd, C. Quintini.

    Transplant Surgery, Cleveland Clinic, Cleveland.

    Introduction:Physiologic flows and pressures need to be provided by the ex vivo liver perfusion device. We hypothesized that the 1-pump designed machines would provide the…
  • 2018 American Transplant Congress

    Resuscitation and Viability Testing of Initially Declined Livers Using Sequential Hypo- and Normothermic Machine Perfusion with an Acellular Fluid

    Y. de Vries,1,2 A. Matton,1,2 S. Karangwa,1,2 M. Nijsten,3 R. de Kleine,2 A. van den Berg,4 V. de Meijer,2 P. Meyer,5 M. de Boer,2 R. Porte.2

    1Surgical Research Laboratory, University of Groningen, University Medical Center Groningen, Groningen, Netherlands; 2Section of HPB Surgery and Liver Transplantation, University Medical Center Groningen, Groningen, Netherlands; 3Department of Critical Care, University Medical Center Groningen, Groningen, Netherlands; 4Department of Gastroenterology and Hepatology, University Medical Center Groningen, Groningen, Netherlands; 5Department of Anesthesiology, University Medical Center Groningen, Groningen, Netherlands.

    While end-ischemic dual hypothermic oxygenated machine perfusion (DHOPE) resuscitates mitochondria and reduces ischemia-reperfusion injury, normothermic machine perfusion (NMP) allows for ex-situ functional testing of donor…
  • 2018 American Transplant Congress

    Gene Silencing with p53 si-RNA Downregulates Inflammatory Markers in the Liver: Potential Utilization during Normothermic Machine Preservation

    C. Moore,1 M. Thijssen,1,2 X. Wang,3 P. Mandrekar,3 E. Xiaofei,3 R. Abdi,4 R. Porte,2 A. Bozorgzadeh,1 H. Leuvenink,2 T. Kowalik,3 P. Martins.1

    1Dept of Surgery, University of Massachusetts, Worcester, MA; 2Dept of Surgery, Groningen University, Gronigen, Netherlands; 3Dept of Medicine, Univ. of Massachusetts, Worcester, MA; 4Transplant Research Institute, Harvard University, Boston, MA.

    Background: RNA interference (RNAi) is a process through which RNA induces the activation of endogenous cellular pathways of RNA degradation, resulting in selective and potent…
  • 2018 American Transplant Congress

    Subnormothermic Machine Perfusion (SNMP) with Human Hemoglobin(Hb)-Based Oxygen Carriers (HBOCs)perfusate Decreased Hepatocellular Reperfusion Injury of Donation after Cardiac Death (DCD) Donor in Pig Model

    T. Shonaka,1 N. Matsuno,1 H. Obara,2 R. Yoshikawa,2 Y. Nishikawa,3 M. Gochi,1 M. Otani,1 H. Takahashi,1 H. Azuma,3 H. Sakai,4 H. Furukawa.1

    1Department of Surgery, Asahikawa Medical University, Asahikawa, Japan; 2Tokyo Metroporitan University, Tokyo, Japan; 3Asahikawa Medical University, Asahikawa, Japan; 4Nara Medical University, Nara, Japan.

    Subnormothermic machine perfusion (SNMP) alleviate hepatoceller injury during organ preservation. However more oxygen is required when perfusate SNMP. Some studies demonstrated that SNMP with hemoglobin-based…
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