O039 Subnormothermic acellular perfusion of human kidneys

نویسندگان

چکیده

Abstract Introduction The optimum conditions for normothermic machine perfusion (NMP) in kidney transplantation have yet to be determined. Traditionally, kidneys are perfused with a red blood cell (RBC) based solution at 37°C. NMP subnormothermic temperature without RBCs could reduce the harmful effects of haemolysis but still preserve function. This study examines effect acellular (SNAP) human kidneys. Methods Five pairs offered research were included study. One each pair was an oxygenated albumin-based cells and other 32°C 6h. After perfusion, reperfused 4h cell-based 37°C assessment. Perfusion parameters renal function compared between groups. Results mean age donors 66±12y. flow (RBF) numerically higher SNAP group (156.5±57.1 vs 115.3±41.21ml/min/100g; P=0.063). RBC produced more urine this did not reach statistical significance (154±159 64±73ml; P=0.217). During reperfusion levels RBF, output percentage creatinine fall similar groups (Creatinine fall; 66±18 74±16%; P=0.382). Conclusion suggests that is equivalent no adverse on parameters. removal negates any detrimental provides simpler method perfusion.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Functional Human Liver Preservation and Recovery by Means of Subnormothermic Machine Perfusion

There is currently a severe shortage of liver grafts available for transplantation. Novel organ preservation techniques are needed to expand the pool of donor livers. Machine perfusion of donor liver grafts is an alternative to traditional cold storage of livers and holds much promise as a modality to expand the donor organ pool. We have recently described the potential benefit of subnormotherm...

متن کامل

Successful Transplantation of Human Kidneys Deemed Untransplantable but Resuscitated by Ex Vivo Normothermic Machine Perfusion

We report the successful transplantation of a pair of human kidneys that were declined for transplantation due to inadequate in situ perfusion but subsequently transplanted after perfusion and assessment using ex vivo normothermic perfusion (EVNP). The kidneys were from a 35-year-old man, a donation after circulatory death donor. Both kidneys were declined by all UK transplant centers. On arriv...

متن کامل

Successful Dual Kidney Transplantation After Hypothermic Oxygenated Perfusion of Discarded Human Kidneys

BACKGROUND The recovery of discarded human kidneys has increased in recent years and impels to use of unconventional organ preservation strategies that improve graft function. We report the first case of human kidneys histologically discarded and transplanted after hypothermic oxygenated perfusion (HOPE). CASE REPORT Marginal kidneys from a 78-year-old woman with brain death were declined by It...

متن کامل

Prognostic Value of Dynamic Tissue Perfusion Measurements in Transplanted Kidneys

Background: The dynamic tissue perfusion measurement in renal transplants has demonstrated its potential to correlate microvascular perfusion changes with histologic changes in the renal cortex [1]. Cross sectional studies have shown that the cortical perfusion depends on the time elapsed after transplantation [2,3] but has not yet been applied as a prognostic marker. Therefore, we compared in ...

متن کامل

Decreased apoptosis in fatty livers submitted to subnormothermic machine-perfusion respect to cold storage

Machine perfusion at subnormothermic temperature (20°C), MP20, was developed by Vairetti et al. and showed to afford a better preservation of fatty livers respect to traditional cold storage (CS) in terms of enzyme release into the perfusate and bile, glycogen stores, energy charge and oxidative stress. Here we investigated whether it also caused decreased cell death by apoptosis. Fatty and lea...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: British Journal of Surgery

سال: 2023

ISSN: ['1365-2168', '0007-1323']

DOI: https://doi.org/10.1093/bjs/znad101.039