Intra-Abdominal Heterotopic Cardiac Xenotransplantation: Pearls and Pitfalls

Autor: Laura DiChiacchio, Avneesh K. Singh, Joshua L. Chan, Nicole M. Shockcor, Tianshu Zhang, Billeta G. Lewis, David Ayares, Philip Corcoran, Keith A. Horvath, Muhammad M. Mohiuddin
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Frontiers in Cardiovascular Medicine, Vol 6 (2019)
Druh dokumentu: article
ISSN: 2297-055X
DOI: 10.3389/fcvm.2019.00095
Popis: Heterotopic cardiac xenotransplantation in the intra-abdominal position has been studied extensively in a pig-to-baboon model to define the optimal donor genetics and immunosuppressive regimen to prevent xenograft rejection. Extensive investigation using this model is a necessary stepping stone toward the development of a life-supporting animal model, with the ultimate goal of demonstrating suitability for clinical cardiac xenotransplantation trials. Aspects of surgical technique, pre- and post-operative care, graft monitoring, and minimization of infectious risk have all required refinement and optimization of heterotopic cardiac xenotransplantation over time. This review details non-immunologic obstacles relevant to this model described by our group and in the literature, as well as strategies that have been developed to address these specific challenges.
Databáze: Directory of Open Access Journals