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Procurement for visceral organ transplantation: where to cannulate and how to perfuse?


Keutgen, Xavier M; Petrowsky, Henrik (2014). Procurement for visceral organ transplantation: where to cannulate and how to perfuse? Current Opinion in Organ Transplantation, 19(2):92-99.

Abstract

PURPOSE OF REVIEW Despite significant improvements in visceral organ transplantation over the last few decades, some technical aspects of organ harvesting remain controversial. The purpose of this article is to review and summarize the latest literature on how to perfuse in multiorgan procurement. RECENT FINDINGS Few prospective studies have analyzed and compared technical aspects of harvesting such as cannulation (aortic-only versus dual aortic and portal flush), flush rates and volumes as well as flush pressures (high pressure vs. gravity). However, these and most data available from additional retrospective and experimental studies do not clearly support one harvesting technique over another. SUMMARY Currently, because of lack of superiority data, no clear guidelines exist on what cannulation techniques to apply during organ procurements in visceral organ transplantation. Additional prospective trials are needed to clarify these questions.

PURPOSE OF REVIEW Despite significant improvements in visceral organ transplantation over the last few decades, some technical aspects of organ harvesting remain controversial. The purpose of this article is to review and summarize the latest literature on how to perfuse in multiorgan procurement. RECENT FINDINGS Few prospective studies have analyzed and compared technical aspects of harvesting such as cannulation (aortic-only versus dual aortic and portal flush), flush rates and volumes as well as flush pressures (high pressure vs. gravity). However, these and most data available from additional retrospective and experimental studies do not clearly support one harvesting technique over another. SUMMARY Currently, because of lack of superiority data, no clear guidelines exist on what cannulation techniques to apply during organ procurements in visceral organ transplantation. Additional prospective trials are needed to clarify these questions.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Visceral and Transplantation Surgery
Dewey Decimal Classification:610 Medicine & health
Date:April 2014
Deposited On:23 Jan 2015 09:15
Last Modified:05 Apr 2016 18:46
Publisher:Lippincott Williams & Wilkins
ISSN:1087-2418
Publisher DOI:https://doi.org/10.1097/MOT.0000000000000066
PubMed ID:24565959
Permanent URL: https://doi.org/10.5167/uzh-104249

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