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Protective effects of Celsior in lung transplantation.
- Source :
-
The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation [J Heart Lung Transplant] 1999 Apr; Vol. 18 (4), pp. 320-7. - Publication Year :
- 1999
-
Abstract
- Background: Celsior is a new preservation solution for heart transplants that recently has been shown also to improve protection of pulmonary grafts. As these data were obtained in isolated lung preparations, we sought to perform further tests with an in vivo model of allogeneic lung transplantation.<br />Methods: The left lungs of 41 rats were either transplanted immediately after harvest (controls) or flushed with and cold stored in Celsior or the blood-based Wallwork solution for 5 or 12 hours. Lungs were then reperfused for 30 minutes, after which ligation of the contralateral pulmonary artery and bronchus made the recipient rat exclusively dependent on the transplanted lung. Assessment of preservation was made on functional (blood gases, pulmonary hemodynamics) and structural (dry-to-weight ratio, light microscopy, myeloperoxidase [MPO] content) end points.<br />Results: The protective effects of Celsior were primarily manifest, once the contralateral lung had been functionally excluded, as a better preservation of oxygen tensions in the 5-hour storage experiments (416 +/- 52 mm Hg vs 406 +/- 59 mm Hg in controls [p = NS] and vs 239 +/- 34 mm Hg in Wallwork [p < 0.05 vs the 2 other groups]) and a smaller increase in pulmonary vascular resistance in the 12-hour storage experiments (10.2 +/- 4.1 mm Hg/mL/minute vs 3.2 +/- 1.1 mm Hg/mL/minute in controls [p = NS] and vs 23.1 +/- 4.3 mm Hg/mL/minute in Wallwork [p < 0.02 vs Celsior, p < 0.002 vs controls]). Survival was also longer in the 12-hour preserved Celsior group. Other end points were not significantly different between the two preservative solutions.<br />Conclusion: These data support the efficacy of Celsior as a flush-out and storage solution for pulmonary grafts. Given its previously documented ability to adequately preserve heart transplants, Celsior might provide a unified "solution" to thoracic organ preservation.
- Subjects :
- Albumins therapeutic use
Analysis of Variance
Animals
Carbon Dioxide blood
Chlorides therapeutic use
Cryopreservation
Disaccharides therapeutic use
Electrolytes therapeutic use
Glutamates therapeutic use
Glutathione therapeutic use
Hemodynamics physiology
Histidine therapeutic use
Lung Transplantation physiology
Male
Mannitol therapeutic use
Organ Size
Oxygen blood
Peroxidase analysis
Propionates therapeutic use
Pulmonary Circulation physiology
Rats
Rats, Wistar
Survival Rate
Transplantation, Homologous
Vascular Resistance physiology
Lung Transplantation methods
Organ Preservation Solutions therapeutic use
Protective Agents therapeutic use
Subjects
Details
- Language :
- English
- ISSN :
- 1053-2498
- Volume :
- 18
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation
- Publication Type :
- Academic Journal
- Accession number :
- 10226896
- Full Text :
- https://doi.org/10.1016/s1053-2498(98)00032-1