scholarly journals First report of successful transplantation of a pediatric donor liver graft after hypothermic machine perfusion

2019 ◽  
Vol 23 (3) ◽  
Author(s):  
Maureen J. M. Werner ◽  
Otto B. Leeuwen ◽  
Iris E. M. Jong ◽  
Frank A. J. A. Bodewes ◽  
Masato Fujiyoshi ◽  
...  
2019 ◽  
Vol 47 (1) ◽  
pp. 427-437 ◽  
Author(s):  
Jun-Jun Jia ◽  
Hai-Yang Xie ◽  
Jian-Hui Li ◽  
Yong He ◽  
Li Jiang ◽  
...  

Objective This study was performed to evaluate the impact and underlying mechanisms of hypothermic machine perfusion (HMP) on half-size liver graft regeneration. Methods Forty rats were randomly assigned to five groups: two in vitro groups (static cold storage [SCS] and HMP) and three in vivo groups (orthotopic liver transplantation, SCS, and HMP). Perfusates and plasma samples were collected for analysis of hepatic enzymes. Liver tissue was obtained for evaluation of histology, immunohistochemistry (Ki67 and proliferating cell nuclear antigen [PCNA]), and the regeneration rate. Cell cycle genes were analyzed by quantitative real-time polymerase chain reaction, and cyclin D1 and cyclin E1 were semiquantified by western blot. Results HMP improved histopathological outcomes and decreased hepatic enzyme release. The expression of Ki67 and PCNA demonstrated a greater proliferation activity in the HMP than SCS group, and the expression of almost all cell cycle genes was elevated following HMP. Western blot results showed higher protein levels of cyclin D1 and cyclin E1 in the HMP than SCS group. Conclusions Our findings suggest for the first time that half-size liver graft protection by HMP involves recovery of graft regeneration.


2021 ◽  
Author(s):  
Sarah Bouari ◽  
Özgür Eryigit ◽  
Ron W. F. Bruin ◽  
Jan N. M. IJzermans ◽  
Robert C. Minnee

2021 ◽  
Vol 14 (5) ◽  
pp. 1491-1495
Author(s):  
Peilin Li ◽  
Masaaki Hidaka ◽  
Yu Huang ◽  
Takanobu Hara ◽  
Kantoku Nagakawa ◽  
...  

AbstractGraft calcification after liver transplantation (LT) has seldom been reported, but almost of all previously reported cases have been attributed to graft dysfunction. We herein report two cases of graft calcification without liver dysfunction after living donor liver transplantation (LDLT). Two patients who underwent LDLT were found to have graft calcification in the early postoperative period (< 1 month). Calcification in the first case was found at the cut edge of the liver at post-operative day (POD) 10, showing a time-dependent increase in calcification severity. The second patient underwent hepatic artery re-anastomosis due to hepatic artery thrombosis on POD4 and received balloon-occluded retrograde transvenous obliteration of the splenic kidney shunt due to decreased portal vein blood flow on POD6. She was found to have diffuse hepatic calcification in the distant hepatic artery area at 1-month post-operation followed by gradual graft calcification at the resection margin at 6-month post-operation. Neither case showed post-operative graft dysfunction. Calcification of the liver graft after LDLT is likely rare, and graft calcification does not seem to affect the short-term liver function in LDLT cases. We recommend strictly controlling the warm/cold ischemia time and reducing the physical damage to the donor specimen as well as monitoring for early calcification by computed tomography.


2021 ◽  
pp. 1-2
Author(s):  
Shiro Baba ◽  
Takuya Hirata ◽  
Hideaki Okajima

Abstract Liver transplantation for patients with atrial septal defect and pulmonary artery stenosis, causing high right atrium pressure, raises concerns about embolism in systemic vessels during reperfusion of the donor liver graft. Temporal atrial septal defect occlusion by a catheter is a simple and easy method of preventing the complication.


2021 ◽  
Author(s):  
Desley A.H. Neil ◽  
Hynek Mergental ◽  
Angus Hann ◽  
Richard W Laing ◽  
Hermien Hartog ◽  
...  

2005 ◽  
Vol 37 (1) ◽  
pp. 335-337 ◽  
Author(s):  
H. Xu ◽  
J.X. Zhang ◽  
J.W. Jones ◽  
J.H. Southard ◽  
M.G. Clemens ◽  
...  

2021 ◽  
Author(s):  
S. Lukas ◽  
C. Bogensperger ◽  
H. Antretter ◽  
M. Grimm ◽  
S. Schneeberger ◽  
...  

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