Growing enthusiasm around machine perfusion (MP) in clinical liver transplantation (LT) may be the preamble for standardized practice to expand the donors’ pool. The present systematic review investigated all the liver transplantations performed using grafts treated with MP. A systematic review of 309 papers was performed. Eventually, 27 articles were enrolled for the study. A total number of 173 cases were reported. Only 12 cohort studies were identified: the remaining ones were case reports or case series. Hypothermic machine perfusion was performed in 102 (59.0%), normothermic machine perfusion in 65 (37.6%), and controlled oxygenated rewarming in the remaining 6 (3.4%) cases. Donor characteristics, evaluation of graft quality, and endpoints were not homogeneous among the studies. Overall, post‐LT results were excellent, with 1.2 and 4.0% of patients experienced primary non‐function and ischemic‐type biliary lesions, respectively.
Role of perfusion machines in the setting of clinical liver transplantation: A qualitative systematic review
Q. Lai,F. Melandro,M. Rossi,F. Ruberto,F. Pugliese,G. Mennini
Published 2018 in Clinical Transplantation
ABSTRACT
PUBLICATION RECORD
- Publication year
2018
- Venue
Clinical Transplantation
- Publication date
2018-06-25
- Fields of study
Medicine, Engineering
- Identifiers
- External record
- Source metadata
Semantic Scholar, PubMed
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