体外肺灌注(EVLP):概念验证

IF 2.7 3区 医学 Q1 SURGERY Transplant International Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI:10.3389/ti.2024.13178
Massimo Boffini, Andrea Costamagna, Matteo Marro, Erika Simonato, Paola Cassoni, Luca Bertero, Vito Fanelli, Cristina Barbero, Luca Brazzi, Mauro Rinaldi
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引用次数: 0

摘要

肺捐献的关键目标仍然是改善移植物保存,最终目的是提高肺移植(LTx)的数量和质量。因此,近年来,移植物保存领域的重点是改善与实体器官再生和修复相关的结果。在这场竞争中,体外肺灌注(EVLP)发挥着至关重要的作用,其目的是增加供体库的可用性,转化适合移植的边缘和/或衰竭供体肺。此次概念验证的目的是测试用于 EVLP 的新型倾斜穹顶的安全性、适用性和可行性,这种设计考虑到了肺背区域是 EVLP 的 "致命弱点",因为与仰卧标准体位相比,该区域积液更多。
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Orthostatic Ex-Vivo Lung Perfusion (EVLP): A Proof of Concept.

The key goal in lung donation remains the improvement of graft preservation with the ultimate objective of increasing the number and quality of lung transplants (LTx). Therefore, in recent years the field of graft preservation focused on improving outcomes related to solid organ regeneration and restoration. In this contest Ex-Vivo Lung Perfusion (EVLP) plays a crucial role with the purpose to increase the donor pool availability transforming marginal and/or declined donor lungs suitable for transplantation. Aim of this proof of concept is to test the safety, suitability and feasibility of a new tilting dome for EVLP designed considering the dorsal lung areas as the "Achilles' heel" of the EVLP due to a more fluid accumulation than in the supine standard position.

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来源期刊
Transplant International
Transplant International 医学-外科
CiteScore
4.70
自引率
6.50%
发文量
211
审稿时长
3-8 weeks
期刊介绍: The aim of the journal is to serve as a forum for the exchange of scientific information in the form of original and high quality papers in the field of transplantation. Clinical and experimental studies, as well as editorials, letters to the editors, and, occasionally, reviews on the biology, physiology, and immunology of transplantation of tissues and organs, are published. Publishing time for the latter is approximately six months, provided major revisions are not needed. The journal is published in yearly volumes, each volume containing twelve issues. Papers submitted to the journal are subject to peer review.
期刊最新文献
Burnout Among Physicians of Specialties Dedicated to Liver Transplantation. Normothermic Machine Perfusion Reconstitutes Porcine Kidney Tissue Metabolism But Induces an Inflammatory Response, Which Is Reduced by Complement C5 Inhibition. Angiotensin II Type-1 Receptor Antibody in Solid Organ Transplantation - Is It Time to Test? Allorecognition Unveiled: Integrating Recent Breakthroughs Into the Current Paradigm. The impact of the EVLP on the lung microbiome and its inflammatory reaction.
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