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Articles tagged "Machine preservation"

  • 2022 American Transplant Congress

    Pulsatile Kidney Perfusion Improves Survival and Graft Function in High Acuity Combined Liver Kidney Transplant (CLKT) Recipients

    T. Liu1, G. Panayotova2, F. Paterno3, A. Amin2, L. Brown4, J. Guarrera5, K. Lunsford6

    1Surgery, Rutgers New Jersey Medical School, Newark, NJ, 2Division of Transplant and Hepatobiliary Surgery, Rutgers New Jersey Medical School, Newark, NJ, 3Rutgers State University of New Jersey, Montclair, NJ, 4Rutgers New Jersey Medical School, Morris Plains, NJ, 5Surgery/ Transplant, Rutgers New Jersey Medical School, Newark, NJ, 6Rutgers New Jersey Medical School, Newark, NJ

    *Purpose: Due to underlying renal dysfunction, CLKT recipients tend to have higher medical acuity at baseline resulting in a higher likelihood of post-operative complications and…
  • 2022 American Transplant Congress

    Lipid Metabolism Profile of Human Kidneys During Ex Vivo Normothermic Perfusion

    J. Yu, I. Palma, S. Adams, J. Sageshima, P. Than, R. Perez

    UC Davis Medical Center, Sacramento, CA

    *Purpose: The kidney is a highly metabolic organ and lipids are an important energy source. In this study, we examined the lipid profiles of discarded…
  • 2022 American Transplant Congress

    A Multicenter Randomized Controlled Trial To Compare The Efficacy Of Ex-vivo Machine Perfusion With Static Cold Storage In Human Liver Transplantation: The University Of Maryland Experience

    J. Avruch1, N. Goussous2, S. Malik1, M. Pinedo1, R. Meier1, C. Bhati1, D. Maluf1, R. Barth3, J. Alvarez-Casas1

    1Transplant Surgery, University of Maryland School of Medicine, Baltimore, MD, 2Transplant Surgery, University of California Davis Health, Davis, CA, 3University of Chicago, Chicago, IL

    *Purpose: There is accumulating clinical evidence of the benefit of normothermic ex-vivo machine perfusion (NMP) compared with traditional static cold storage of liver allografts prior…
  • 2022 American Transplant Congress

    Perfusate Cell-Free DNA Content is a Potential Marker of Cellular Injury During Hypothermic Machine Perfusion of Porcine Kidneys Subject to Prolonged Warm Ischemia

    V. Boominathan1, M. Willman1, N. Battula2, A. Zarrinpar1, S. Duarte1

    1University of Florida, Gainesville, FL, 2University of Oklahoma, Oklahoma City, OK

    *Purpose: Despite the potential benefits and expanding use of advanced dynamic perfusion systems in clinical practice, to date there is no robust and non-invasive method…
  • 2022 American Transplant Congress

    Normothermic Machine Perfusion of the Liver Supports Protein Translation and Mitochondrial Function While Reducing Protein Degradation and Metabolic Imbalance: A Proteomics Study

    L. Lo Faro1, A. Thorne2, H. Huang3, P. Charles3, M. Kaisar1, S. Davis3, F. Dengu1, S. Shaheed1, J. Mulvey1, R. Fischer3, D. Nasralla4, B. Kessler3, H. Leuvenink2, P. Friend1, R. Ploeg1

    1Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom, 2University Medical Center Groningen, Groningen, Netherlands, 3Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom, 4Royal Free London NHS Foundation Trust, London, United Kingdom

    *Purpose: Liver preservation by normothermic machine perfusion (NMP) involves perfusion of the graft with oxygenated blood and nutrients. The NMP Liver trial by the Consortium…
  • 2022 American Transplant Congress

    Final Flow and Resistance During Cold Pulsatile Perfusion Preservation Do Have Value in Prediction of Deceased Donor Graft Survival After Adjusting for KDPI

    D. S. Keith, E. Lessmann

    Kidney Transplant, Sacred Heart Hospital, Pensacola, FL

    *Purpose: To determine whether cold pulsatile perfusion preservation (CPPP) parameters of flow and resistance provide additional data regarding deceased donor kidney graft survival after adjusting…
  • 2022 American Transplant Congress

    Stabilization of Cell-Cell Junctions Improves Outcomes in an Ex-Vivo Porcine Renal Ischemia-Reperfusion Injury Culture Model

    L. Plumblee1, K. Patel2, L. Langerude3, Z. Tu3, D. Nord4, T. Beduschi3, S. Nadig5, C. Atkinson6

    1MUSC College of Medicine, Gainesville, FL, 2University of Virgina, Charlottesville, VA, 3University of Florida, Gaineville, FL, 4Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, Gainesville, FL, 5Northwestern University, Charleston, SC, 6Pulmonary Medicine, University of Florida, Gainesville, FL

    *Purpose: Renal transplant is an accepted therapy for end-stage renal failure. Chronic transplant dysfunction remains the leading cause of long-term graft loss and is, in…
  • 2022 American Transplant Congress

    Controlling Instability at Reperfusion: Another Benefit of Normothermic Machine Perfusion Using OCS Liver

    C. S. Hwang1, C. Shi2, M. Patel1, J. Shah1, L. DeGregorio1, S. Hanish1, Y. Kadakia3, U. Chaudhary3, E. Okoro2, S. Cheruku2, P. Lahsaei2, P. Vagefi1, M. MacConmara4

    1Surgery, University of Texas Southwestern Medical Center, Dallas, TX, 2Anesthesia, University of Texas Southwestern Medical Center, Dallas, TX, 3University of Texas Southwestern Medical Center, Dallas, TX, 4TransMedics, Andover, MA

    *Purpose: Organ Care System (OCS) Liver is a portable ex-vivo normothermic liver perfusion device recently shown to provide superior donor organ preservation. The impact of…
  • 2022 American Transplant Congress

    Cold Pulsatile Perfusion Resistance of Deceased Donor Kidneys Mainly Dependent on Renal Mass, Donor Age and Donor AKI, Other Donor Factors Have Minimal Impact

    D. Keith, E. Lessmann

    Kidney Transplant, Sacred Heart Hospital, Pensacola, FL

    *Purpose: To determine the factors influencing resistance to flow during cold pulsatile perfusion preservation (CPPP) of deceased donor kidneys.*Methods: All donor kidneys procured for possible…
  • 2022 American Transplant Congress

    Cell-Free DNA Concentration in Hypothermic Machine Perfusate is a Potential Rapid Marker for Kidney Graft Quality

    S. Duarte1, M. Willman1, V. Boominathan1, D. Lewis1, W. De Faria1, G. Vrakas1, A. El-Hinnawi1, T. Beduschi1, N. Battula2, A. Zarrinpar1

    1University of Florida, Gainesville, FL, 2University of Oklahoma Medical College, Oklahoma City, OK

    *Purpose: The successful use of hypothermic machine perfusion (HMP) as a clinical modality for graft preservation prior to kidney transplantation (KTx) has generated a demand…
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