Article
Gastroenterology & Hepatology
Guillaume Rossignol, Xavier Muller, Valerie Hervieu, Sophie Collardeau-Frachon, Antoine Breton, Natacha Boulanger, Mickael Lesurtel, Remi Dubois, Kayvan Mohkam, Jean-Yves Mabrut
Summary: This single-center pilot study presents feasibility and safety data for transplantation of partial liver grafts undergoing ex situ split during HOPE, suggesting improved preservation compared with static ex situ splitting.
LIVER TRANSPLANTATION
(2022)
Article
Biotechnology & Applied Microbiology
Pierre-Alain Clavien, Philipp Dutkowski, Matteo Mueller, Dilmurodjon Eshmuminov, Lucia Bautista Borrego, Achim Weber, Beat Muellhaupt, Richard X. Sousa Da Silva, Brian R. Burg, Philipp Rudolf von Rohr, Martin J. Schuler, Dustin Becker, Max Hefti, Mark W. Tibbitt
Summary: A human liver has been successfully transplanted using ex situ normothermic machine perfusion, which extends the time window for evaluating the viability of donor organs and transforms the urgency of the surgery to an elective procedure.
NATURE BIOTECHNOLOGY
(2022)
Article
Surgery
Rohit Gaurav, Andrew J. Butler, Vasilis Kosmoliaptsis, Lisa Mumford, Corrina Fear, Lisa Swift, Arturs Fedotovs, Sara Upponi, Samir Khwaja, James Richards, Michael Allison, Christopher J. E. Watson
Summary: NRP and NMP were associated with better early liver function compared to SCS, whereas NRP was associated with superior preservation of the biliary system.
Review
Medicine, General & Internal
Fabio Melandro, Riccardo De Carlis, Francesco Torri, Andrea Lauterio, Paolo De Simone, Luciano De Carlis, Davide Ghinolfi
Summary: This review summarizes the current literature on viability criteria during normothermic and hypothermic machine perfusion, and discusses the future steps and evolution of these technologies.
MEDICINA-LITHUANIA
(2022)
Review
Medicine, General & Internal
Claire Goumard, Celia Turco, Mehdi Sakka, Lynda Aoudjehane, Philippe Lesnik, Eric Savier, Filomena Conti, Olivier Scatton
Summary: The ongoing organ shortage has led transplant teams to develop ex-situ machine perfusion as an alternative source for liver grafts. Normothermic machine perfusion has shown promise in defatting livers, with successful results on human organs.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Transplantation
Hanns Lembach Jahnsen, Hynek Mergental, M. Thamara P. R. Perera, Darius F. Mirza
Summary: Key studies in liver preservation over the last 3 years have shown advancements in normothermic and hypothermic machine perfusion techniques, with potential to improve organ quality in transplantation. Ongoing research focuses on evaluating efficacy of interventions and optimal indications for different perfusion strategies based on graft type and clinical scenario.
CURRENT OPINION IN ORGAN TRANSPLANTATION
(2021)
Article
Multidisciplinary Sciences
Ngee-Soon Lau, Mark Ly, Claude Dennis, Andrew Jacques, Marti Cabanes-Creus, Shamus Toomath, Joanna Huang, Nicole Mestrovic, Paul Yousif, Sumon Chanda, Chuanmin Wang, Leszek Lisowski, Ken Liu, James G. Kench, Geoffrey McCaughan, Michael Crawford, Carlo Pulitano
Summary: Long-term machine perfusion of human livers outside the body is an emerging field with tremendous potential for the assessment, recovery, and modification of organs prior to transplantation. Here, the authors report the long-term ex situ perfusion of human livers and demonstrate the ability to split and perfuse these organs using a standardised protocol.
NATURE COMMUNICATIONS
(2023)
Article
Surgery
Felix Becker, Felicia Kneifel, Arne Riegel, Shadi Katou, Tristan Wagner, Isabelle Flammang, Mazen Juratli, Thomas Vogel, Sonia Radunz, Haluk Morgul, Andreas Pascher, Philipp Houben, Jens G. Brockmann
Summary: This study reports the experience and technical considerations of pre-NMP reconstruction of the hepatic artery. For liver grafts with atypical hepatic artery, reconstructing the artery during the graft preparation preserves the ability to modify the reconstruction and allows functional evaluation before transplantation, simultaneous reperfusion in the recipient, and the shortest possible duration for vascular reconstruction.
LANGENBECKS ARCHIVES OF SURGERY
(2022)
Article
Immunology
Zhiyong Guo, Liqiang Zhan, Ningxin Gao, Zhiheng Zhang, Shanzhou Huang, Linhe Wang, Caihui Zhu, Zehua Jia, Meixian Yin, Fangcong Li, Shirui Chen, Tao Luo, Yao Liu, Yu Jia, Tielong Wang, Jinghong Xu, Yuexin Li, Yifan Zhu, Yichao Chen, Chuhan Yu, Yunhua Tang, Qiang Zhao, Dongping Wang, Xiaoshun He
Summary: This study compared the metabolism activities of donor livers between in situ and ex situ conditions during ischemia-free liver transplantation. Common and distinct metabolites were identified, indicating suppressed urea cycle pathway and more active metabolism in standard criteria donor group. These findings provide insights for improving perfusion device design, perfusate components, and graft viability criteria.
Article
Biotechnology & Applied Microbiology
Melanie Kruger, Alicia Ruppelt, Benjamin Kappler, Elke Van Soest, Roos Anne Samsom, Guy C. M. Grinwis, Niels Geijsen, J. Bernd Helms, Marco Stijnen, Linda M. Kock, Marco Rasponi, Hans S. Kooistra, Bart Spee
Summary: This study established a feasible large animal model for studying liver diseases by collecting porcine livers in a slaughterhouse and perfusing them in vitro. The model allows for the investigation of metabolic and toxic liver disorders in the early stages and the observation of biochemical markers and functional impairment of liver damage. It provides a reliable alternative to experimental animals for studying liver diseases and potential treatments.
BIOENGINEERING-BASEL
(2022)
Article
Gastroenterology & Hepatology
Ngee-Soon Lau, Mark Ly, Claude Dennis, Kasper Ewenson, Hayden Ly, Joanna L. Huang, Marti Cabanes-Creus, Sumon Chanda, Chuanmin Wang, Leszek Lisowski, Ken Liu, James Kench, Geoffrey McCaughan, Michael Crawford, Carlo Pulitano
Summary: Liver splitting during normothermic machine perfusion has the potential to revolutionize split liver transplantation. We developed a technique to reliably achieve two grafts from a single donor liver, allowing for semi-elective transplantation and sophisticated graft assessment prior to implant. This method successfully split 10 whole livers into 20 partial grafts, with a high rate of graft survival.
Article
Immunology
Siavash Raigani, John Santiago, Anders Ohman, Megan Heaney, Sofia Baptista, Taylor M. Coe, Reinier J. de Vries, Ivy Rosales, Angela Shih, James F. Markmann, Philip Gruppuso, Korkut Uygun, Jennifer Sanders, Heidi Yeh
Summary: The introduction of machine perfusion technology allows surgeons to monitor liver function before transplantation, and using specific therapeutic methods during machine perfusion can improve the quality of donated livers. In this study, targeting the apoptosis pathway showed potential in improving hepatocellular function and reducing immune and inflammatory responses, resulting in better transplant outcomes.
FRONTIERS IN IMMUNOLOGY
(2022)
Article
Engineering, Biomedical
M. Magbagbeola, Z. L. Rai, K. Doyle, L. Lindenroth, G. Dwyer, A. Gander, A. Stilli, B. R. Davidson, D. Stoyanov
Summary: This paper presents a low-cost organ perfusion machine that is modular and versatile, allowing for the addition of specific sensors for different research applications. The machine was assessed for perfusion efficacy, functionality, and viability using various measurements and assays. The results show that the system is capable of successfully perfusing porcine livers for up to three hours, maintaining their viability and functionality.
INTERNATIONAL JOURNAL OF COMPUTER ASSISTED RADIOLOGY AND SURGERY
(2023)
Article
Engineering, Biomedical
Dustin Becker, Dilmurodjon Eshmuminov, Roman Keller, Matteo Mueller, Lucia Bautista Borrego, Catherine Hagedorn, Muhayyo Duskabilova, Mark W. Tibbitt, Christopher Onder, Pierre-Alain Clavien, Philipp Rudolf von Rohr, Martin J. Schuler, Max Hefti
Summary: This study presents a method using an automated insulin delivery system to maintain blood glucose levels within the physiological range during ex situ liver perfusion. Results show that the system can effectively measure blood glucose in human and pig blood, and control it within the physiological range.
IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING
(2021)
Review
Medicine, General & Internal
Charles W. G. Risbey, Carlo Pulitano
Summary: Liver transplantation is a life-saving procedure for patients with end-stage liver disease, but the shortage of donors prevents many patients from receiving transplants. This paper investigates the clinical progress of ex vivo normothermic machine perfusion (NMP) as an alternative preservation technique for liver transplantation in humans.
JOURNAL OF CLINICAL MEDICINE
(2023)