Hypothermic Machine Perfusion Preservation of the DCD Kidney : Machine Effects
Joint Authors
Brassil, John
Lindell, Susanne L.
Muir, Heather
Mangino, Martin J.
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-10-10
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
Kidneys from DCD donors represent a significant pool, but preservation problems exist.
The study objective was to test the importance of machine type for hypothermic preservation of DCD kidneys.
Methods.
Adult Beagle dog kidneys underwent 45 minutes of warm in situ ischemia followed by hypothermic perfusion for 24 hours (Belzer-MPS Solution) on either an ORS LifePort or a Waters RM3 using standard perfusion protocols.
Kidneys were then autotransplanted, and renal function was assessed over 7 days following contralateral nephrectomy.
Results.
Renal vascular resistance was not different between the two pumps.
After 24 hours, the oxygen partial pressure and oxygen delivery in the LifePort perfusate were significantly lower than those in the RM3 but not low enough to change lactate production.
TheLifePort ran significantly colder than RM3 (2° versus 5°C).
The arterial pressure waveform of the RM3 was qualitatively different from the waveform of the LifePort.
Preservation injury after transplantation was not different between the devices.
When the LifePort was changed to nonpulsatile flow, kidneys displayed significantly greater preservation injury compared to RM3.
Conclusions.
Both LifePort and RM3 can be used for hypothermic machine perfusion preservation of DCD kidneys with equal outcomes as long as the duty cycle remains pulsatile.
American Psychological Association (APA)
Lindell, Susanne L.& Muir, Heather& Brassil, John& Mangino, Martin J.. 2013. Hypothermic Machine Perfusion Preservation of the DCD Kidney : Machine Effects. Journal of Transplantation،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-499227
Modern Language Association (MLA)
Lindell, Susanne L.…[et al.]. Hypothermic Machine Perfusion Preservation of the DCD Kidney : Machine Effects. Journal of Transplantation No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-499227
American Medical Association (AMA)
Lindell, Susanne L.& Muir, Heather& Brassil, John& Mangino, Martin J.. Hypothermic Machine Perfusion Preservation of the DCD Kidney : Machine Effects. Journal of Transplantation. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-499227
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-499227