Ischemia-reperfusion injury in marginal liver grafts and the role of hypothermic machine perfusion: molecular mechanisms and clinical implications

Z Czigany, I Lurje, M Schmelzle, W Schöning… - Journal of Clinical …, 2020 - mdpi.com
Ischemia-reperfusion injury (IRI) constitutes a significant source of morbidity and mortality
after orthotopic liver transplantation (OLT). The allograft is metabolically impaired during …

Organ restoration with normothermic machine perfusion and immune reaction

A Parente, DC Osei-Bordom, V Ronca… - Frontiers in …, 2020 - frontiersin.org
Liver transplantation is the only recognized effective treatment for end-stage liver disease.
However, organ shortages have become the main challenge for patients and physicians …

Liver transplantation of partial grafts after ex situ splitting during hypothermic oxygenated perfusion—The HOPE–Split pilot study

G Rossignol, X Muller, V Hervieu… - Liver …, 2022 - Wiley Online Library
Partial liver grafts from ex situ splitting are considered marginal due to prolonged static cold
storage. The use of ex situ hypothermic oxygenated perfusion (HOPE) may offer a strategy to …

Long-term normothermic machine preservation of partial livers: first experience with 21 human hemi-livers

M Mueller, M Hefti, D Eshmuminov, MJ Schuler… - Annals of …, 2021 - journals.lww.com
Objective: The aim of this study was to maintain long-term full function and viability of partial
livers perfused ex situ for sufficient duration to enable ex situ treatment, repair, and …

[PDF][PDF] The new horizon of split‐liver transplantation: ex situ liver splitting during hypothermic oxygenated machine perfusion

M Spada, R Angelico, C Grimaldi… - Liver …, 2020 - Wiley Online Library
Split-liver grafts are more vulnerable to ischemia/reperfusion injury (IRI) and primary
nonfunction (PNF) because of prolonged cold ischemia time (CIT) and surgical …

Efficiency of machine perfusion in pediatric liver transplantation

A Parente, M Kasahara, VE De Meijer… - Liver …, 2024 - journals.lww.com
Liver transplantation is the only life-saving procedure for children with end-stage liver
disease. The field is however heterogenic with various graft types, recipient age, weight, and …

Prolonged ex vivo normothermic perfusion of a split liver: an innovative approach to increase the number of available grafts

NS Lau, M Ly, A Jacques, K Ewenson… - Transplantation …, 2021 - journals.lww.com
Normothermic machine perfusion has emerged as a method of assessing livers before
implantation and permits livers to be split ex vivo while perfused under normothermic …

Addressing the challenges of split liver transplantation through technical advances. A systematic review

NS Lau, A Jacques, G McCaughan, M Crawford… - Transplantation …, 2021 - Elsevier
Background Split liver transplantation addresses donor shortages by facilitating the
transplant of two recipients using one donor liver. Some still consider these grafts inferior …

Thrombolytic Therapy During ex-vivo Normothermic Machine Perfusion of Human Livers Reduces Peribiliary Vascular Plexus Injury

O Haque, S Raigani, I Rosales, C Carroll, TM Coe… - Frontiers in …, 2021 - frontiersin.org
Background: A major limitation in expanding the use of donation after circulatory death
(DCD) livers in transplantation is the increased risk of graft failure secondary to ischemic …

Long-term machine perfusion of human split livers: a new model for regenerative and translational research

NS Lau, G McCaughan, M Ly, K Liu, M Crawford… - Nature …, 2024 - nature.com
Recent advances in machine perfusion have revolutionised the field of transplantation by
prolonging preservation, permitting evaluation of viability prior to implant and rescue of …