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Machine perfusion for kidneys: How to do it at minimal cost

Lookup NU author(s): Dr Nicholas Hoenich, Dr Christopher Snowden, Professor Derek Manas, Professor John Kirby, David Talbot

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Abstract

Due to a shortage of organs for transplantation, many centres use marginal grafts to increase their donor pool. As kidneys from non-heart-beating donors (NHBD) have sustained initial ischaemic damage, their viability is difficult to predict. Hypothermic pulsatile perfusion has not only been used to improve the condition of such grafts, but also allows viability assessment. Suitable systems are becoming more readily available, but they are expensive. We have used existing dialysis equipment with modified sterilised inserts to create a pulsatile hypothermic perfusion system. With this system, 41 NHBD kidneys were perfused for up to 8 h; their intravascular renal resistance (IRVR), flow characteristics as well as glutathione S transferase (GST) measurements were performed to assess viability. This hypothermic pulsatile perfusion system is now an integral component of our NHBD programme.


Publication metadata

Author(s): Balupuri S, Strong A, Hoernich N, Snowden C, Mohamed M, Manas D, Kirby J, Talbot D

Publication type: Article

Publication status: Published

Journal: Transplant International

Year: 2001

Volume: 14

Issue: 2

Pages: 103-107

ISSN (print): 0934-0874

ISSN (electronic): 1432-2277

Publisher: Wiley-Blackwell

URL: http://dx.doi.org/10.1007/s001470050855

DOI: 10.1007/s001470050855

PubMed id: 11370162


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