2017
DOI: 10.1016/j.healun.2016.10.014
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Optimal ex vivo lung perfusion techniques with oxygenated perfusate

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Cited by 28 publications
(23 citation statements)
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“…To our knowledge, EVLP for more than 12h has not been reported so far using the three widely used EVLP protocols in the clinical setting. Several studies have been performed to optimize the EVLP protocols looking at the roles of atrial pressure, 9 synchronous bronchial artery circulation, 10 cellular and acellular perfusates, 11 continued perfusate exchange, 12 negative pressure ventilation, 13 perfusate oxygen concentration, 14 continuous perfusate adsorption, 15 and positioning of donor lungs. 16 Combination of these strategies may result in prolonged EVLP times.…”
Section: Glossary Of Abbreviationsmentioning
confidence: 99%
“…To our knowledge, EVLP for more than 12h has not been reported so far using the three widely used EVLP protocols in the clinical setting. Several studies have been performed to optimize the EVLP protocols looking at the roles of atrial pressure, 9 synchronous bronchial artery circulation, 10 cellular and acellular perfusates, 11 continued perfusate exchange, 12 negative pressure ventilation, 13 perfusate oxygen concentration, 14 continuous perfusate adsorption, 15 and positioning of donor lungs. 16 Combination of these strategies may result in prolonged EVLP times.…”
Section: Glossary Of Abbreviationsmentioning
confidence: 99%
“…Debate continues about the best conditions for EVLP with regards to cellular versus acellular composition of the perfusate (138)(139)(140)(141), the importance of left atrial pressure (138,142), positive versus negative pressure ventilation (143), the use of leucocyte (144) or cytokine filters (145,146) in the circuit, the oxygenation level of the perfusate (147), and the role of hemofiltration (148). Research is ongoing to identify clinical biomarkers in the perfusate such as cytokines (149), endothelial markers (150), adhesion molecules (151), metabolomics (152) and to investigate imaging techniques (153,154) before and after EVLP that may be predictive of graft function after transplantation.…”
Section: Lungmentioning
confidence: 99%
“…Removed passenger leukocytes could reduce pyroptotic reactions [85] and pro-inflammatory cytokines [86]. Another way to modify EVLP in order to reach a better post-transplant functional outcome is to optimize the level of perfusate oxygenation, such as 40% O 2 [87] or ventilated with 2% hydrogen [88,89], through upregulation of heme oxygenase-1 and promoting mitochondrial biogenesis [90] and innate mechanisms of repair [91]. NPV could also reduce lung edema and lower composite acute lung injury [92].…”
Section: Anti-inflammatory Strategymentioning
confidence: 99%