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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Jakubauskas, M; Jakubauskiene, L; Leber, B; Strupas, K; Stiegler, P; Schemmer, P.
Machine Perfusion in Liver Transplantation: A Systematic Review and Meta-Analysis
VISC MED. 2021; Doi: 10.1159/000519788
Web of Science FullText FullText_MUG

 

Führende Autor*innen der Med Uni Graz

Stiegler Philipp

Co-Autor*innen der Med Uni Graz

Leber Bettina

Schemmer Peter

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Abstract:

Background: Liver transplantation (LTx) is the only treatment option for patients with end-stage liver disease. Novel organ preservation techniques such as hypothermic machine perfusion (HMP) or normothermic machine perfusion (NMP) are under investigation in order to improve organ quality from extended criteria donors and donors after circulatory death. The aim of this study was to systematically review the literature reporting LTx outcomes using NMP or HMP compared to static cold storage (SCS). Methods: The following data were retrieved: graft primary nonfunction rate, early allograft dysfunction (EAD) rate, biliary complication rate, and 12-month graft and patient survival. A total of 15 studies were included (6 NMP and 9 HMP studies), and meta-analysis was performed only for HMP studies because NMP had considerable differences. Results: The systematic review showed the potential of NMP to reduce graft injury and lower the liver graft discard rate. The performed quantitative analyses showed that the use of HMP reduces the rate of EAD (odds ratio [OR] 0.51; 95% confidence interval [CI] 0.34-0.76; p = 0.001; I-2 = 0%) and non-anastomotic biliary strictures (OR 0.34; 95% CI 0.17-0.67; p = 0.002; I-2 = 0%) compared to SCS. Conclusion: Our systematic review and meta-analysis revealed that the use of HMP reduces the rate of EAD and non-anastomotic biliary strictures compared to SCS.

Find related publications in this database (Keywords)

Extended criteria donors

Marginal grafts

Machine perfusion

Liver transplantation

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