Ex Vivo Lung Perfusion: A Review of Research and Clinical Practices.

Autor: Chan PG; University of Pittsburgh, Pittsburgh, PA, USA., Kumar A; University of Pittsburgh, Pittsburgh, PA, USA., Subramaniam K; University of Pittsburgh, Pittsburgh, PA, USA., Sanchez PG; University of Pittsburgh, Pittsburgh, PA, USA.
Jazyk: angličtina
Zdroj: Seminars in cardiothoracic and vascular anesthesia [Semin Cardiothorac Vasc Anesth] 2020 Mar; Vol. 24 (1), pp. 34-44. Date of Electronic Publication: 2020 Feb 08.
DOI: 10.1177/1089253220905147
Abstrakt: End-stage lung disease is ultimately treated with lung transplantation. However, there is a paucity of organs with an increasing number of patients being diagnosed with end-stage lung disease. Ex vivo lung perfusion has emerged as a potential tool to assess the quality and to recondition marginal donor lungs prior to transplantation with the goal of increasing the donor pool. This technology has shown promise with similar results compared with the conventional technique of cold static preservation in terms of primary graft dysfunction and overall outcomes. This review provides an update on the results and uses of this technology. The review will also summarize clinical studies and techniques in reconditioning and assessing lungs on ex vivo lung perfusion. Last, we discuss how this technology can be applied to fields outside of transplantation such as thoracic oncology and bioengineering.
Databáze: MEDLINE