THE USE OF NORMOTHERMIC EXTRACORPOREAL PERFUSION IN SITU IN KIDNEY ASYSTOLIC DONORS

Deficit of donor organs is the limiting factor in organ transplantation. One way of solving this problem is the use of donors with sudden irreversible circulatory arrest. Obtaining organs from this category of donors is pos- sible only through the use of normothermic extracorporal perfusion in situ...

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Main Authors: Y.. A. Shcherbuk, S. F. Bagnenko, A. E. Scvorzov, I. V. Loginov, A. N. Ananyev, I. V. Ulyankina, S. V. Eremich, K. Y. Senchik, O. N. Reznik
Format: Article
Language:Russian
Published: Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov 2010-06-01
Series:Вестник трансплантологии и искусственных органов
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Online Access:https://journal.transpl.ru/vtio/article/view/339
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author Y.. A. Shcherbuk
S. F. Bagnenko
A. E. Scvorzov
I. V. Loginov
A. N. Ananyev
I. V. Ulyankina
S. V. Eremich
K. Y. Senchik
O. N. Reznik
author_facet Y.. A. Shcherbuk
S. F. Bagnenko
A. E. Scvorzov
I. V. Loginov
A. N. Ananyev
I. V. Ulyankina
S. V. Eremich
K. Y. Senchik
O. N. Reznik
author_sort Y.. A. Shcherbuk
collection DOAJ
description Deficit of donor organs is the limiting factor in organ transplantation. One way of solving this problem is the use of donors with sudden irreversible circulatory arrest. Obtaining organs from this category of donors is pos- sible only through the use of normothermic extracorporal perfusion in situ (NECP) with oxygenation and leu- cocyte depletion. The article presents the implementation of NECP in 11 uncontrolled non heart beating donor (uNHBD) kidneys (age of 43,1 ± 2,98 years) and the results of transplantation in 22 recipients of such transplants in comparison with the results of the 20 recipients of kidney transplants from 20 donors to the death of the brain (age 45,65 ± 1,8 years). Despite the initially high rate of delayed function and more significant number of hemo- dialysis in uNHBD group (group of investigation), serum creatinine at 21st day was the same level as in BDD group (comparison group): 0,198 ± 0,002 mmol/L and 0,151 ± 0,002 mmol/L (p > 0,05). The use of NECP with oxygenation and leucocyte depletion is an effective practice for recovery kidney from donors with a sudden ir- reversible circulatory arrest with warm ischemic time one hour and more before the operation explantation.
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issn 1995-1191
language Russian
publishDate 2010-06-01
publisher Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
record_format Article
series Вестник трансплантологии и искусственных органов
spelling doaj-art-40cdc540115c48fe8cd50a575bb78a6c2025-08-20T03:21:07ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovВестник трансплантологии и искусственных органов1995-11912010-06-01124111810.15825/1995-1191-2010-4-11-18282THE USE OF NORMOTHERMIC EXTRACORPOREAL PERFUSION IN SITU IN KIDNEY ASYSTOLIC DONORSY.. A. Shcherbuk0S. F. Bagnenko1A. E. Scvorzov2I. V. Loginov3A. N. Ananyev4I. V. Ulyankina5S. V. Eremich6K. Y. Senchik7O. N. Reznik8I.I. Djanelidze State Research Institute for Emergency, Saint-PetersburgI.I. Djanelidze State Research Institute for Emergency, Saint-PetersburgI.I. Djanelidze State Research Institute for Emergency, Saint-PetersburgI.I. Djanelidze State Research Institute for Emergency, Saint-PetersburgI.I. Djanelidze State Research Institute for Emergency, Saint-PetersburgI.I. Djanelidze State Research Institute for Emergency, Saint-PetersburgI.I. Djanelidze State Research Institute for Emergency, Saint-PetersburgCentral Research Institute of Robotics and Technical Cybernetics, St. PetersburgI.I. Djanelidze State Research Institute for Emergency, Saint-PetersburgDeficit of donor organs is the limiting factor in organ transplantation. One way of solving this problem is the use of donors with sudden irreversible circulatory arrest. Obtaining organs from this category of donors is pos- sible only through the use of normothermic extracorporal perfusion in situ (NECP) with oxygenation and leu- cocyte depletion. The article presents the implementation of NECP in 11 uncontrolled non heart beating donor (uNHBD) kidneys (age of 43,1 ± 2,98 years) and the results of transplantation in 22 recipients of such transplants in comparison with the results of the 20 recipients of kidney transplants from 20 donors to the death of the brain (age 45,65 ± 1,8 years). Despite the initially high rate of delayed function and more significant number of hemo- dialysis in uNHBD group (group of investigation), serum creatinine at 21st day was the same level as in BDD group (comparison group): 0,198 ± 0,002 mmol/L and 0,151 ± 0,002 mmol/L (p > 0,05). The use of NECP with oxygenation and leucocyte depletion is an effective practice for recovery kidney from donors with a sudden ir- reversible circulatory arrest with warm ischemic time one hour and more before the operation explantation.https://journal.transpl.ru/vtio/article/view/339uncontrolled donors after cardiac deathwarm ischemic timeleucocytes depletionnormothermic extracorporal perfusion in situ.
spellingShingle Y.. A. Shcherbuk
S. F. Bagnenko
A. E. Scvorzov
I. V. Loginov
A. N. Ananyev
I. V. Ulyankina
S. V. Eremich
K. Y. Senchik
O. N. Reznik
THE USE OF NORMOTHERMIC EXTRACORPOREAL PERFUSION IN SITU IN KIDNEY ASYSTOLIC DONORS
Вестник трансплантологии и искусственных органов
uncontrolled donors after cardiac death
warm ischemic time
leucocytes depletion
normothermic extracorporal perfusion in situ.
title THE USE OF NORMOTHERMIC EXTRACORPOREAL PERFUSION IN SITU IN KIDNEY ASYSTOLIC DONORS
title_full THE USE OF NORMOTHERMIC EXTRACORPOREAL PERFUSION IN SITU IN KIDNEY ASYSTOLIC DONORS
title_fullStr THE USE OF NORMOTHERMIC EXTRACORPOREAL PERFUSION IN SITU IN KIDNEY ASYSTOLIC DONORS
title_full_unstemmed THE USE OF NORMOTHERMIC EXTRACORPOREAL PERFUSION IN SITU IN KIDNEY ASYSTOLIC DONORS
title_short THE USE OF NORMOTHERMIC EXTRACORPOREAL PERFUSION IN SITU IN KIDNEY ASYSTOLIC DONORS
title_sort use of normothermic extracorporeal perfusion in situ in kidney asystolic donors
topic uncontrolled donors after cardiac death
warm ischemic time
leucocytes depletion
normothermic extracorporal perfusion in situ.
url https://journal.transpl.ru/vtio/article/view/339
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