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Articles tagged "Machine preservation"

  • 2016 American Transplant Congress

    Predictive Model of Delayed Graft Function in Machine Perfused Kidney Transplantation: Model Validation Using Decision Curve Analysis.

    K. Ravindra,1 S. Sanoff,1 D. Vikraman,1 U. Patel,1 M. Ellis,1 E. Squires,2 D. Sudan,1 W. Irish.1

    1Surgery, Duke University, Durham, NC; 2Half Moon Bay, Raleigh.

    Introduction: Predictive model for delayed graft function (DGF) was developed (Am J Transpl 2010; 10: 2279–86)excluding organs that were machine perfused (MP). Currently, approximately 50%…
  • 2015 American Transplant Congress

    Donor Lung Preservation With the Organ Care System® Promotes a Tissue Protective and Anti-Inflammatory Response During Transplantation

    B. Wiegmann,1 C. Falk,2 M. Seyda,2 C. Neudörfl,2 A. Akhdar,2 C. Kühn,1 I. Tudorache,1 M. Avsar,1 A. Haverich,1 G. Warnecke.1

    1Department for Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany; 2Institute of Transplant Immunology, Hannover Medical School, Hannover, Germany.

    ObjectivesWithin INSPIRE trial standard cold storage (SOC) is compared to normothermic, ventilated donor lung preservation (Organ-Care-System®, OCS). As lung preservation may influence immune mediators (IM),…
  • 2015 American Transplant Congress

    Ex Vivo Lung Perfusion: Revisit to the Optimal Oxygenation Circulating Lungs for Graft Preservation

    K. Noda, S. Haam, J. D'Cunha, J. Luketich, C. Bermudez, N. Shigemura.

    Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.

    AimAccumulating evidence supports increasing the role of ex vivo lung perfusion (EVLP). However, there are evidenced limitations as well as the adverse effects of current…
  • 2015 American Transplant Congress

    Correlation Between Level of Biomarkers Measured in Perfusate of Machine-Preserved ECD/DCD Kidneys and Post-Transplant Graft Function

    E. Ablorsu,1 S. Zouwail,2 P. Laftsidis,1 B. Cook,1 L. Szabo.1

    1Cardiff Transplant Unit, University Hospital for Wales, Cardiff, United Kingdom; 2The Medical Biochemistry and Immunology Department, University Hospital for Wales, Cardiff, United Kingdom.

    Background:DCD and ECD kidneys are associated with higher risk of failure compare to SCD kidneys. Therefore we see increasing need to identify sensitive tool to…
  • 2015 American Transplant Congress

    Pre-Trasplant Perfusion With Mesenchymal Stromal Cells of Renal Graft Prevents Ischemia Injury Upregulating Gene Involved in Energy Saving

    V. Corradetti,1 S. Milanesi,1 E. Pattonieri,1 C. Rocca,1 T. Valsania,1 M. Gregorini,1 L. De Cecco,2 I. Benzoni,3 C. Bianco,3 M. Avanzini,4 M. Maestri,3 P. Esposito,1 T. Rampino,1 A. Dal Canton.

    1Unit of Nephrology, Dialysis and Transplantation, IRCCS Fondazione Policlinico San Matteo And University of Pavia, Pavia, Italy; 2Department of Experimental Oncology, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milano, Italy; 3Unit of General Surgery, IRCCS Fondazione Policlinico San Matteo And University of Pavia, Pavia, Italy; 4Cell Factory Pediatric Oncohaematology, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.

    Background. Kidney ischemia from Donation after Circulatory Death shifts cells to anaerobic metabolism. Mesenchymal Stromal Cells (MSC) have immunomodulatory properties that are mediated by soluble…
  • 2015 American Transplant Congress

    Normothermic Machine Perfusion (NMP) on Discarded Human Livers: The First Model in the US

    Q. Liu, A. Nassar, G. Iuppa, D. Urcuyo-Llanes, D. Sexton, T. Okamoto, T. Uso, A. Bennett, W. Baldwin, K. Abu-Elmagd, J. Fung, C. Miller, C. Quintini.

    Cleveland Clinic, Cleveland, OH.

    The benefit of NMP preservation has been reported in a number of animal studies. Herein we describe safety, feasibility and effectiveness of NMP on discarded…
  • 2015 American Transplant Congress

    Everolimus Initiation Immediately After Liver Transplantation: A Single-Center Experience

    U. Herden, A. Galante, S. Pischke, L. Fischer, J. Li, M. Koch, E. Achilles, B. Nashan, M. Sterneck.

    University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

    BackgroundClinical trials in liver transplant (LTX) patients with randomization on day 30 to everolimus (EVR) show a benefit in renal function compared to calcineurin inhibitor…
  • 2015 American Transplant Congress

    Hypothermic Machine Perfusion Improves Kidney Viability through Amelioration of Vasospasm and Edema of Podocytes and Renal Tubular Epithelial Cells

    Z. Zhong,1 Z. Liu,1 Z. Fu,2 Y. Zhang,2 D. Ko,3 Y. Wang,1 Q. Ye.1,2

    1Zhongnan Hospital of Wuhan University, Institute of Hepatobiliary Diseases of Wuhan University, Transplant Center of Wuhan University, Hubei Key Laboratory of Medical Technology on Transplantation, Wuhan, China; 2The 3rd Xiangya Hospital of Central South University, Research Center of National Health Ministry on Transplantation Medicine Engineering and Technology, Changsha, Hunan, China; 3Massachusetts General Hospital, Department of Urology, Boston, MA.

    Hypothermic machine perfusion (MP) may improve outcome after transplantation from donors after cardiac death (DCD) kidneys, but protective mechanisms of MP remain largely unknown. To…
  • 2015 American Transplant Congress

    Is the Pulsatile Kidney Preservation Machine a Vaulable Tool in Evaluating Kidney Suitability from Older Donors After Brain Death?

    D. Paredes Zapata,1 A. Ruiz Arranz,1 C. Rodriguez Villar,1 L. Peri Cussi,2 A. Alcaraz Asensio,2 R. Adalia Bartolome,1 F. Oppenheimer Salinas.3

    1Donation and Transplant Coordination Section, Hospital Clinic, University of Barcelona, Barcelona, Spain; 2Urology Department, Hospital Clinic, University of Barcelona, Barcelona, Spain; 3Renal Transplant Unit, Hospital Clinic, Barcelona, Spain.

    Introduction: Donors after Brain Death (DBD) older than 60 years old, have become 46.8% of our donor activity, with higher Discard Rate (DR). Assessment of…
  • 2015 American Transplant Congress

    Gradual Warming Up Perfusion Post Static Cold Storage Reduces Renal Injury

    P. Mahboub,3,1 P. Ottens,1 R. Ploeg,2 P. Martins,3 H. Leuvenink.1

    1Surgery, UMCG, Groningen, Netherlands; 2Surgery, University of Oxford, Oxford, United Kingdom; 3Surgery, UMass, Worcester, MA.

    We hypothesize that the sudden warm reperfusion after Cold Storage [CS] is detrimental for the graft and we therefore evaluated different warming-up procedures before reperfusion.Methods:Rat…
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