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Løkkegaard H, Boysen G, Gyrd-Hansen N, Hansen RI, Hasselager E, Nerstrøm B, Rasmussen F. KIDNEY PRESERVATION BY HYPOTHERMIA USING A PERFUSATE MEDIUM WITH “INTRACELLULAR ION COMPOSITION”. ACTA ACUST UNITED AC 2009. [DOI: 10.1111/j.0954-6820.1971.tb04416.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Løkkegaard H, Fernandes A, Gyrd-Hansen N, Hansen RI, Hasselager E, Kemp E, Lund F, Rasmussen F. KIDNEY PRESERVATION WITH HYPOTHERMIA AND HYPERBARIC OXYGEN. ACTA ACUST UNITED AC 2009. [DOI: 10.1111/j.0954-6820.1970.tb02931.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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History of Clinical Transplantation. Surgery 2008. [DOI: 10.1007/978-0-387-68113-9_80] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Scott DF, Morley AR, Swinney J. Canine renal preservation following hypothermic perfusion and subsequent function. Br J Surg 2005. [DOI: 10.1002/bjs.1800560913] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- D F Scott
- Department of Surgery, University of Newcastle upon Tyne, England
| | - A R Morley
- Department of Surgery, University of Newcastle upon Tyne, England
| | - J Swinney
- Department of Surgery, University of Newcastle upon Tyne, England
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Spilg H, Uys CJ, Hickman R, Saunders SJ, Terblanche J. Twelve-hour liver preservation in the pig using hypothermia and hyperbaric oxygen. Br J Surg 2005. [DOI: 10.1002/bjs.1800590406] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Abstract
In an attempt to prolong successful storage of the pig liver beyond the 6–8 hours previously described from this laboratory, the addition of cell-membranestabilizing drugs to the preserving solution and the use of a potassium-rich solution were investigated. Using simple hypothermia alone, 10- and 12-hour storage was unsuccessful. Using the previously described hypothermic technique, but with the addition of hyperbaric oxygen at 3 atmospheres absolute (A.T.A.), consistently successful 12-hour preservation was achieved.
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Affiliation(s)
- Harold Spilg
- The Departments of Surgery, Pathology, and Medicine, University of Cape Town, Cape Town, South Africa
- The Liver Clinic, Groote Schuur Hospital, Observatory, Cape Town, South Africa
| | - C J Uys
- The Departments of Surgery, Pathology, and Medicine, University of Cape Town, Cape Town, South Africa
- The Liver Clinic, Groote Schuur Hospital, Observatory, Cape Town, South Africa
| | - Rosemary Hickman
- The Departments of Surgery, Pathology, and Medicine, University of Cape Town, Cape Town, South Africa
- The Liver Clinic, Groote Schuur Hospital, Observatory, Cape Town, South Africa
| | - Stuart J Saunders
- The Departments of Surgery, Pathology, and Medicine, University of Cape Town, Cape Town, South Africa
- The Liver Clinic, Groote Schuur Hospital, Observatory, Cape Town, South Africa
| | - John Terblanche
- The Departments of Surgery, Pathology, and Medicine, University of Cape Town, Cape Town, South Africa
- The Liver Clinic, Groote Schuur Hospital, Observatory, Cape Town, South Africa
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A History of Clinical Transplantation. Surgery 2001. [DOI: 10.1007/978-3-642-57282-1_61] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Abstract
The emergence of transplantation has seen the development of increasingly potent immunosuppressive agents, progressively better methods of tissue and organ preservation, refinements in histocompatibility matching, and numerous innovations in surgical techniques. Such efforts in combination ultimately made it possible to successfully engraft all of the organs and bone marrow cells in humans. At a more fundamental level, however, the transplantation enterprise hinged on two seminal turning points. The first was the recognition by Billingham, Brent, and Medawar in 1953 that it was possible to induce chimerism-associated neonatal tolerance deliberately. This discovery escalated over the next 15 years to the first successful bone marrow transplantations in humans in 1968. The second turning point was the demonstration during the early 1960s that canine and human organ allografts could self-induce tolerance with the aid of immunosuppression. By the end of 1962, however, it had been incorrectly concluded that turning points one and two involved different immune mechanisms. The error was not corrected until well into the 1990s. In this historical account, the vast literature that sprang up during the intervening 30 years has been summarized. Although admirably documenting empiric progress in clinical transplantation, its failure to explain organ allograft acceptance predestined organ recipients to lifetime immunosuppression and precluded fundamental changes in the treatment policies. After it was discovered in 1992 that long-surviving organ transplant recipients had persistent microchimerism, it was possible to see the mechanistic commonality of organ and bone marrow transplantation. A clarifying central principle of immunology could then be synthesized with which to guide efforts to induce tolerance systematically to human tissues and perhaps ultimately to xenografts.
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Affiliation(s)
- T E Starzl
- Thomas E. Starzl Transplantation Institute, University of Pittsburgh Medical Center, PA 15213, USA
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Martich GD, Boujoukos AJ. Adult Cardiac Transplantation. J Intensive Care Med 1996. [DOI: 10.1177/088506669601100202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Patients with severe drug-refractory heart failure experience one of two modes of death. Either they collapse from an arrhythmia and are deemed to have had sudden death, or they die of progressive congestive heart failure. In either instance, their poor functional status during life limits their ability to perform usual daily activities. Currently, the only proven long-term benefit to these patients is heart transplantation. The technique that led to the first human-to-human heart transplantation nearly 30 years ago has changed very little; however, refinements in post operative care have kept research in this field at the fore for many years. Immediate postoperative hemodynamic stabilization by experienced clinicians may improve a patient's chances of survival after heart transplantation. Improved immunosuppressive agents have decreased life-threatening rejection episodes. Better knowledge of the infectious diseases that attack these immunosuppressed patients has also contributed to the nearly 85% one-year survival of heart transplantation recipients. The longest surviving heart transplantation recipient remains alive and well after more than 22 years. The development of transplant-related coronary artery disease may be the only transplantation-associated factor that keeps recipients from living for many decades. Transplantation coronary artery disease leads the list of late causes of mortality. Unlike native coronary artery disease, there exists ongoing difficulty in both diagnosis and treatment of this dreaded complication. We cover current standards and future possibilities in adult heart transplantation. We look at history, demographics, indications, management, and outcome in these patients, as well as future goals.
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Affiliation(s)
- G. Daniel Martich
- Department of Anesthesia and Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA
| | - Arthur J. Boujoukos
- Department of Anesthesia and Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA
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Affiliation(s)
- T E Starzl
- Department of Surgery, University Health Center of Pittsburgh, PA
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Affiliation(s)
- T E Starzl
- Department of Surgery, University of Pittsburgh School of Medicine, Pennsylvania
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Johnson RWG. Kidney Preservation. Clin Transplant 1987. [DOI: 10.1007/978-94-009-3217-3_7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Affiliation(s)
- A. Acconcia
- (Divistone di Urologia-Dialisi degli Spedali Muniti « S. Maria della Scala » di Siena -Primario)
| | - A. Manganelli
- (Divistone di Urologia-Dialisi degli Spedali Muniti « S. Maria della Scala » di Siena -Primario)
| | - F. M. Mattei
- (Divistone di Urologia-Dialisi degli Spedali Muniti « S. Maria della Scala » di Siena -Primario)
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Snell ME, Hopkinson WI, Farrell J, Edwards J. Hyperbaric oxygen: an adjuvant in renal preservation. Nature 1972; 238:278. [PMID: 4558559 DOI: 10.1038/238278a0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Matsubara J. Successful 24 to 48 hour canine kidney preservation. THE JAPANESE JOURNAL OF SURGERY 1972; 2:30-6. [PMID: 4610243 DOI: 10.1007/bf02468904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Chapman J. Hypothermic perfusion preservation of the canine kidney with a simulated intracellular fluid. BRITISH JOURNAL OF UROLOGY 1971; 43:421-31. [PMID: 4937822 DOI: 10.1111/j.1464-410x.1971.tb12063.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Reisner GS, Kerby C. A simple hypothermic hyperbaric perfusion system for kidney storage. THE AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY 1970; 40:91-3. [PMID: 5272617 DOI: 10.1111/j.1445-2197.1970.tb04036.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Bartlett M, Nkposong E, Richards B. Extra-corporeal perfusion on an arteriovenous shunt as a method of functional assessment of preserved kidneys. BRITISH JOURNAL OF UROLOGY 1970; 42:129-35. [PMID: 4911761 DOI: 10.1111/j.1464-410x.1970.tb10011.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Groenewald JH, van Zyl JJ, Weber HW, Murphy GP. Important environmental factors in kidney preservation. Cryobiology 1970; 6:500-5. [PMID: 4987492 DOI: 10.1016/s0011-2240(70)80104-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Collins GM, Bravo-Shugarman M, Terasaki PI. Kidney preservation for transportation. Initial perfusion and 30 hours' ice storage. Lancet 1969; 2:1219-22. [PMID: 4187813 DOI: 10.1016/s0140-6736(69)90753-3] [Citation(s) in RCA: 577] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Keaveny TV. Experience with small organ perfusion. Ir J Med Sci 1969; 8:163-7. [PMID: 5802161 DOI: 10.1007/bf02954678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Demers R, Wigmore RA, Slapak M. A perfusion circuit for organ preservation in portable hyperbaric chambers. J Surg Res 1969; 9:95-9. [PMID: 5767142 DOI: 10.1016/0022-4804(69)90037-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Smith RB, Terasaki PI, Martin DC. Clinical use of the tetrazolium test for evaluation of potential cadaveric donors for renal homotransplantation. J Urol 1968; 100:361-4. [PMID: 4877908 DOI: 10.1016/s0022-5347(17)62534-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Basso A, Lotti T, Laurenti C, D'Amore A. Twenty-four-hour renal preservation using perfusion cooling by autologous arterial blood. BRITISH JOURNAL OF UROLOGY 1968; 40:522-33. [PMID: 4879057 DOI: 10.1111/j.1464-410x.1968.tb11843.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Hendry WF, Struthers NW, Duguid WP, Hopkinson WI. Observations on kidneys stored by continuous hypothermic perfusion and hyperbaric oxygen. Br J Surg 1968; 55:431-6. [PMID: 4870687 DOI: 10.1002/bjs.1800550607] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Kemp E, Clark PB, Anderson CK, Laursen T, Parsons FM. Low temperature preservation of mammalian kidneys. SCANDINAVIAN JOURNAL OF UROLOGY AND NEPHROLOGY 1968; 2:183-90. [PMID: 4893380 DOI: 10.3109/00365596809135365] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Basso A, Calne RY, Hopkinson WI. Renal preservation with hyperbaric oxygenation and hypothermia. BRITISH JOURNAL OF UROLOGY 1967; 39:276-88. [PMID: 5338912 DOI: 10.1111/j.1464-410x.1967.tb09807.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Schmidt-Mende M, Brendel W. Experimentelle Untersuchungen zum Energiestoffwechsel der kühlkonservierten Niere. ACTA ACUST UNITED AC 1967. [DOI: 10.1007/bf02044977] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Keller R, Swinney J, Taylor RM, Uldell PR. The problem of renal reservation. BRITISH JOURNAL OF UROLOGY 1966; 38:653-6. [PMID: 5335118 DOI: 10.1111/j.1464-410x.1966.tb09773.x] [Citation(s) in RCA: 80] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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