Cold storage or normothermic perfusion for liver transplantation: probable application and indications

<p>Purpose of review: Preservation of the liver via normothermic machine perfusion (NMP) is rapidly becoming an area of great academic and clinical interest. This review focuses on the benefits and limitations of NMP and where the role for static cold storage may lie.</p> <p>Recen...

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Główni autorzy: Ceresa, C, Nasralla, D, Knight, S, Friend, P
Format: Journal article
Język:English
Wydane: Lippincott, Williams & Wilkins 2017
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author Ceresa, C
Nasralla, D
Knight, S
Friend, P
author_facet Ceresa, C
Nasralla, D
Knight, S
Friend, P
author_sort Ceresa, C
collection OXFORD
description <p>Purpose of review: Preservation of the liver via normothermic machine perfusion (NMP) is rapidly becoming an area of great academic and clinical interest. This review focuses on the benefits and limitations of NMP and where the role for static cold storage may lie.</p> <p>Recent findings: Clinical studies have recently been published reporting the use of NMP in liver preservation for transplantation. They have described the technology to be well tolerated and feasible with potentially improved posttransplant outcomes. NMP facilitates extended preservation times as well as the potential to increase organ utilization through viability assessment and regeneration. However, this technology is considerably more costly than cold storage and carries significant logistical challenges. Cold storage remains the gold standard preservation for standard criteria livers with good long-term patient and graft survival.</p> <p>Summary: NMP is an exciting new technological advancement in liver preservation, which is likely to have a positive impact in liver transplantation. However, randomized controlled trials are required to justify its inclusion into standard practice and provide evidence to support its efficacy.</p>
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spelling oxford-uuid:0938ab33-ffc8-48bc-9607-f0c165a03cce2022-03-26T09:17:04ZCold storage or normothermic perfusion for liver transplantation: probable application and indicationsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:0938ab33-ffc8-48bc-9607-f0c165a03cceEnglishSymplectic Elements at OxfordLippincott, Williams & Wilkins2017Ceresa, CNasralla, DKnight, SFriend, P <p>Purpose of review: Preservation of the liver via normothermic machine perfusion (NMP) is rapidly becoming an area of great academic and clinical interest. This review focuses on the benefits and limitations of NMP and where the role for static cold storage may lie.</p> <p>Recent findings: Clinical studies have recently been published reporting the use of NMP in liver preservation for transplantation. They have described the technology to be well tolerated and feasible with potentially improved posttransplant outcomes. NMP facilitates extended preservation times as well as the potential to increase organ utilization through viability assessment and regeneration. However, this technology is considerably more costly than cold storage and carries significant logistical challenges. Cold storage remains the gold standard preservation for standard criteria livers with good long-term patient and graft survival.</p> <p>Summary: NMP is an exciting new technological advancement in liver preservation, which is likely to have a positive impact in liver transplantation. However, randomized controlled trials are required to justify its inclusion into standard practice and provide evidence to support its efficacy.</p>
spellingShingle Ceresa, C
Nasralla, D
Knight, S
Friend, P
Cold storage or normothermic perfusion for liver transplantation: probable application and indications
title Cold storage or normothermic perfusion for liver transplantation: probable application and indications
title_full Cold storage or normothermic perfusion for liver transplantation: probable application and indications
title_fullStr Cold storage or normothermic perfusion for liver transplantation: probable application and indications
title_full_unstemmed Cold storage or normothermic perfusion for liver transplantation: probable application and indications
title_short Cold storage or normothermic perfusion for liver transplantation: probable application and indications
title_sort cold storage or normothermic perfusion for liver transplantation probable application and indications
work_keys_str_mv AT ceresac coldstorageornormothermicperfusionforlivertransplantationprobableapplicationandindications
AT nasrallad coldstorageornormothermicperfusionforlivertransplantationprobableapplicationandindications
AT knights coldstorageornormothermicperfusionforlivertransplantationprobableapplicationandindications
AT friendp coldstorageornormothermicperfusionforlivertransplantationprobableapplicationandindications