Cold but not too cold: advances in hypothermic and normothermic organ perfusion

Transplantation is the method of choice and, in many cases, the only method of treatment for patients with end-stage organ disease. Excellent results have been achieved, and the main focus today is to extend the number of available donors. The use of extended-criteria donors or donors after circulat...

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Main Author: Guenter Kirste
Format: Article
Language:English
Published: Korean Society for Transplantation 2022-03-01
Series:Korean Journal of Transplantation
Subjects:
Online Access:http://journaleditor.inforang.com/journal/view.html?doi=10.4285/kjt.22.0008
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author Guenter Kirste
author_facet Guenter Kirste
author_sort Guenter Kirste
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description Transplantation is the method of choice and, in many cases, the only method of treatment for patients with end-stage organ disease. Excellent results have been achieved, and the main focus today is to extend the number of available donors. The use of extended-criteria donors or donors after circulatory death is standard, but is accompanied by an increased risk of ischemia reperfusion injury. This review presents newly developed machine perfusion techniques using hypothermic, subnormothermic, or normothermic conditions, with or without oxygenation. Possibilities for treatment and quality assessment in decision-making about organ acceptability are also discussed.
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spelling doaj.art-84458351e9a74df4afc4fcf1475d7da92024-01-02T04:34:13ZengKorean Society for TransplantationKorean Journal of Transplantation2671-87902022-03-0136121410.4285/kjt.22.0008kjt.22.0008Cold but not too cold: advances in hypothermic and normothermic organ perfusionGuenter Kirste0Department of Surgery, University Hospital of Freiburg, Albert Ludwig University of Freiburg, Freiburg im Breisgau, GermanyTransplantation is the method of choice and, in many cases, the only method of treatment for patients with end-stage organ disease. Excellent results have been achieved, and the main focus today is to extend the number of available donors. The use of extended-criteria donors or donors after circulatory death is standard, but is accompanied by an increased risk of ischemia reperfusion injury. This review presents newly developed machine perfusion techniques using hypothermic, subnormothermic, or normothermic conditions, with or without oxygenation. Possibilities for treatment and quality assessment in decision-making about organ acceptability are also discussed.http://journaleditor.inforang.com/journal/view.html?doi=10.4285/kjt.22.0008organ donation; organ protection; cold storage; normothermic machine perfusion; ischemic reperfusion injury
spellingShingle Guenter Kirste
Cold but not too cold: advances in hypothermic and normothermic organ perfusion
Korean Journal of Transplantation
organ donation; organ protection; cold storage; normothermic machine perfusion; ischemic reperfusion injury
title Cold but not too cold: advances in hypothermic and normothermic organ perfusion
title_full Cold but not too cold: advances in hypothermic and normothermic organ perfusion
title_fullStr Cold but not too cold: advances in hypothermic and normothermic organ perfusion
title_full_unstemmed Cold but not too cold: advances in hypothermic and normothermic organ perfusion
title_short Cold but not too cold: advances in hypothermic and normothermic organ perfusion
title_sort cold but not too cold advances in hypothermic and normothermic organ perfusion
topic organ donation; organ protection; cold storage; normothermic machine perfusion; ischemic reperfusion injury
url http://journaleditor.inforang.com/journal/view.html?doi=10.4285/kjt.22.0008
work_keys_str_mv AT guenterkirste coldbutnottoocoldadvancesinhypothermicandnormothermicorganperfusion