Article (Scientific journals)
Dynamic liver preservation: Are we still missing pieces of the puzzle?
Blondeel, Joris; Monbaliu, Diethard; Gilbo, NICHOLAS
2023In Artificial Organs, 47 (2), p. 248 - 259
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Keywords :
extended criteria donation; hypothermic oxygenated machine perfusion; liver transplantation; normothermic machine perfusion; organ perfusion; risk analysis; Humans; Liver; Liver Transplantation; Organ Preservation; Perfusion; Reperfusion Injury; Risk analysis; Risk assessment; Conventional preservation; Extended criteria donation; Hypothermic; Hypothermic oxygenated machine perfusion; Ischemia-reperfusion injury; Liver preservation; Liver transplantation; Normothermic machine perfusion; Organ perfusion; Still missing; expanded criteria donor; human; liver function test; liver graft; liver preservation; normothermic regional perfusion; Review; risk assessment; stratification; adverse event; liver; organ preservation; perfusion; reperfusion injury; surgery; Cold storage
Abstract :
[en] To alleviate the persistent shortage of donor livers, high-risk liver grafts are increasingly being considered for liver transplantation. Conventional preservation with static cold storage falls short in protecting these high-risk livers from ischemia–reperfusion injury, as evident from higher rates of post-transplant complications such as early allograft dysfunction and ischemic cholangiopathy. Moreover, static cold storage does not allow for a functional assessment of the liver prior to transplantation. To overcome these limitations, dynamic strategies of liver preservation have been proposed, designed to provide a protective effect while allowing pre-transplant functional assessment. In this review, we discuss how different dynamic preservation strategies exert their effects, where we stand in assessing liver function and what challenges are lying ahead. © 2022 International Center for Artificial Organs and Transplantation and Wiley Periodicals LLC.
Disciplines :
Surgery
Author, co-author :
Blondeel, Joris;  Department of Microbiology, Immunology and Transplantation, Laboratory of Abdominal Transplantation, KU Leuven, Leuven, Belgium, Department of Abdominal Transplant Surgery and Coordination, University Hospitals Leuven, Leuven, Belgium
Monbaliu, Diethard;  Department of Microbiology, Immunology and Transplantation, Laboratory of Abdominal Transplantation, KU Leuven, Leuven, Belgium, Department of Abdominal Transplant Surgery and Coordination, University Hospitals Leuven, Leuven, Belgium
Gilbo, NICHOLAS  ;  Université de Liège - ULiège > Département des sciences cliniques > Pathologie chirurgicale abdominale et endocrinienne ; Centre Hospitalier Universitaire de Liège - CHU > > Service de chirurgie abdo, sénologique, endocrine et de transplantation
Language :
English
Title :
Dynamic liver preservation: Are we still missing pieces of the puzzle?
Publication date :
2023
Journal title :
Artificial Organs
ISSN :
0160-564X
eISSN :
1525-1594
Publisher :
John Wiley and Sons Inc
Volume :
47
Issue :
2
Pages :
248 - 259
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 25 January 2024

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