A randomized prospective trial of cold storage versus pulsatile perfusion for cadaver kidney preservation.

Abstract:

:In a randomized trial conducted in 9 Ontario transplant centers, 107 cadaver kidney donors were randomized so that both kidneys were preserved either by simple cold storage (CS) or by pulsatile perfusion (PP). After exclusions and losses to follow-up, there were 90 patients in the CS group and 91 in the PP group. Total preservation times were similar in the two groups (27.7 +/- 12 and 30.5 +/- 10 hr), as was the proportion of kidneys with long (greater than 36 hr) storage times (21% and 26%). Twelve-month graft survival was 70% for CS and 75% for PP (not significant, NS); patient survival was 89% for CS and 95% for PP (NS). The incidence of kidneys that never functioned was also similar in the two groups (14% vs. 15%, respectively). However, the risk of early, reversible graft dysfunction was significantly higher for CS (44%) than for PP (31%). The same effect was observed with two independent methods of assessment of graft function. The chief effect of PP on renal function was in reduction of the mean serum creatinine at 1 week (632 mumol/L for CS vs. 403 mumol/L for PP, P less than .001). There was no significant influence of storage mode on the rapidity of urine output or number of dialyses required. No apparent effect of cyclosporine on the results with either preservation method was seen. We conclude that the case for retention of PP for kidney preservation now rests on its ability to achieve slightly better initial function than CS. However, the mild dysfunction observed with CS did not appear to translate into long-term detriment. When these considerations are weighed against the increased cost of PP, the advantage may lie with cold storage.

journal_name

Transplantation

journal_title

Transplantation

authors

Halloran P,Aprile M

subject

Has Abstract

pub_date

1987-06-01 00:00:00

pages

827-32

issue

6

eissn

0041-1337

issn

1534-6080

journal_volume

43

pub_type

临床试验,杂志文章,随机对照试验
  • Treatment of chronic hepatitis C with recombinant interferon alpha in kidney transplant recipients.

    abstract::Chronic hepatitis C is a common cause of viral liver disease in kidney transplant (KT) recipients. To assess the efficacy and safety of therapy with interferon alpha we conducted a prospective study where 14 cadaveric KT recipients with chronic hepatitis C received recombinant interferon alpha-2b (IFNa) 3 million unit...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-199505270-00012

    authors: Rostaing L,Izopet J,Baron E,Duffaut M,Puel J,Durand D

    更新日期:1995-05-27 00:00:00

  • Proteomic bronchiolitis obliterans syndrome risk monitoring in lung transplant recipients.

    abstract:BACKGROUND:Obliterative bronchiolitis poses a primary obstacle for long-term survival of lung transplant recipients and manifests clinically as bronchiolitis obliterans syndrome (BOS). Establishing a molecular level screening method to detect BOS-related proteome changes before its diagnosis by forced expiratory volume...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318224c109

    authors: Wolf T,Oumeraci T,Gottlieb J,Pich A,Brors B,Eils R,Haverich A,Schlegelberger B,Welte T,Zapatka M,von Neuhoff N

    更新日期:2011-08-27 00:00:00

  • Intravenous immune globulin treatment inhibits crossmatch positivity and allows for successful transplantation of incompatible organs in living-donor and cadaver recipients.

    abstract:BACKGROUND:Sensitization to human leukocyte antigens (HLA) is a significant barrier to transplantation. Currently, no proven therapy exists to improve access to transplantation for highly sensitized patients. Here, we report a novel approach using intravenous immune globulin to modulate anti-HLA antibody and improve th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000080685.31697.FC

    authors: Jordan SC,Vo A,Bunnapradist S,Toyoda M,Peng A,Puliyanda D,Kamil E,Tyan D

    更新日期:2003-08-27 00:00:00

  • Low pretransplant bone-mineral density and rapid bone loss do not increase risk for avascular osteonecrosis after allogeneic hematopoietic stem cell transplantation.

    abstract:BACKGROUND:Avascular osteonecrosis (AVN) is a serious complication of allogeneic stem cell transplantation (SCT). Graft-versus-host disease and its treatment with steroids are the main risk factors; underlying diagnosis, age and gender are further risk factors. It has been speculated that low baseline bone mineral dens...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.tp.0000164353.86447.db

    authors: Schulte CM,Beelen DW

    更新日期:2005-06-27 00:00:00

  • Hepatic lidocaine metabolism and complications of cirrhosis. Implications for assessing patient priority for hepatic transplantation.

    abstract::The number of patients awaiting hepatic transplantation continues to exceed organ donation. As a result, many liver transplant candidates will develop life-threatening complications of their liver disease and not survive the pretransplant waiting period. Recent studies have demonstrated that hepatic lidocaine metaboli...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199304000-00028

    authors: Shiffman ML,Fisher RA,Sanyal AJ,Edinboro LE,Luketic VA,Purdum PP 3rd,Raymond P,Posner MP

    更新日期:1993-04-01 00:00:00

  • Monocyte-derived dendritic cell precursors facilitate tolerance to heart allografts after total lymphoid irradiation.

    abstract:BACKGROUND:Previous studies have shown that posttransplant total lymphoid irradiation, anti-thymocyte globulin, and an intravenous donor blood cell infusion induce tolerance to ACI heart allografts in Lewis rat hosts. METHODS:In the current study, fresh ACI monocytes and dendritic cell precursors, derived from short-t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199811270-00004

    authors: Hayamizu K,Huie P,Sibley RK,Strober S

    更新日期:1998-11-27 00:00:00

  • Neoral compared to Sandimmune is associated with a decrease in histologic severity of rejection in patients undergoing primary liver transplantation.

    abstract:BACKGROUND:In a randomized, controlled study we investigated the clinical efficacy of the microemulsion formulation of cyclosporine (Neoral) in comparison with Sandimmune (SIM) in the treatment of patients who underwent primary orthotopic liver transplantation (OLT). METHODS:In total, 33 patients were randomized in a ...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-199709150-00011

    authors: Graziadei IW,Wiesner RH,Marotta PJ,Porayko MK,Dahlke LJ,Wilson SM,Steers JL,Krom RA

    更新日期:1997-09-15 00:00:00

  • Control of cyclosporine A-induced tumor progression using 15-deoxyspergualin for rat cardiac transplantation.

    abstract::Immunosuppressive therapy increases the risk of recurrence of initial cancers in organ transplant patients, and compelling therapeutic protocols are needed to suppress the malignancy and protect the allograft. We examined the potential use of 15-deoxyspergualin (DSG) in relation to organ transplantation and cancer. Th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000271496.75233.f6

    authors: Ohsawa I,Uemoto S,Kobayashi E,Murakami T

    更新日期:2007-08-15 00:00:00

  • Inhibitor against coagulation factor V after liver transplantation.

    abstract::A new case of anti-factor V inhibitor is described in a 46-year-old man, who received a liver transplantation for hepatocellular carcinoma, without exposure to bovine thrombin or fibrin glue during the operative course. The inhibition occurred on the 14th postoperative day, while the patient was being treated with oxa...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199910150-00026

    authors: Leroy-Matheron C,Mallat A,Duvoux C,Métreau JM,Cherqui D,Dhumeaux D,Gouault-Heilmann M

    更新日期:1999-10-15 00:00:00

  • Cerebrovascular events in renal transplant recipients.

    abstract:BACKGROUND:The incidence of stroke and risk factors for different subtypes of cerebrovascular (CBV) events in renal transplant recipients have not been examined in any large prospective controlled trial. METHODS:The Assessment of Lescol in Renal Transplantation was a randomized, double-blind, placebo-controlled study ...

    journal_title:Transplantation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/TP.0b013e31818bfce8

    authors: Abedini S,Holme I,Fellström B,Jardine A,Cole E,Maes B,Holdaas H,ALERT Study Group.

    更新日期:2009-01-15 00:00:00

  • Epitope specificity of HLA class I alloantibodies: II. Stability of cross-reactive group antibody patterns over extended time periods.

    abstract::The stability of HLA alloantibodies was studied in 128 antibody-positive, potential kidney transplant recipients over an average period of 3 years. Antibody detection was performed using an anti-human globulin-complement-dependent cytotoxicity technique. In this study, the specificity of antibodies was categorized as ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199703270-00015

    authors: Rodey GE,Revels K,Fuller TC

    更新日期:1997-03-27 00:00:00

  • Effect of sirolimus on the metabolism of apoB100- containing lipoproteins in renal transplant patients.

    abstract:BACKGROUND:Sirolimus (Rapamune, rapamycin, RAPA) is a potent immunosuppressive drug that has reduced the rate of acute rejection episodes by more than 40% in phase III trials when added to an immunosuppression regimen of cyclosporine (CsA) and prednisone. However, RAPA treatment tends to increase lipid levels, particul...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200110150-00011

    authors: Hoogeveen RC,Ballantyne CM,Pownall HJ,Opekun AR,Hachey DL,Jaffe JS,Oppermann S,Kahan BD,Morrisett JD

    更新日期:2001-10-15 00:00:00

  • Precursor frequency and lytic specificity of interleukin 2 and interleukin 4-responsive murine lymphocytes.

    abstract::The response to IL-2 and IL-4 of several functionally defined lymphoid cell types was assessed at the individual responding cell level in limiting dilution experiments in which exogenous IL-2 or IL-4 was used to promote cellular activation and expansion. Splenic precursors that give rise to alloreactive CTL in LDA sup...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199004000-00018

    authors: Widmer MB,Voice RF,Conlon PJ,Grabstein KH

    更新日期:1990-04-01 00:00:00

  • FK506 treatment in combination with leflunomide in hamster-to-rat heart and liver xenograft transplantation.

    abstract:BACKGROUND:In the experiment described here, we investigated the effects of the immunosuppressants FK506 and leflunomide (Lef) on the survival of hamster hearts and liver xenografts in Lewis rats. METHODS:Lewis rats were used as recipients of hamster heart or liver grafts using different regimens of FK506 and Lef. Don...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199810150-00004

    authors: Sankary HN,Yin DP,Chong AS,Ma LL,Blinder L,Shen JK,Foster P,Williams JW

    更新日期:1998-10-15 00:00:00

  • Association of polymorphisms of interleukin-8, CXCR1, CXCR2, and selectin with allograft outcomes in kidney transplantation.

    abstract:BACKGROUND:Both chemokines and adhesion molecules mediate allograft rejection by recruiting leukocytes into the allograft. We investigated the association of six single nucleotide polymorphisms (SNPs) located in interleukin (IL)-8, CXCR1, CXCR2, and selectin with kidney allograft outcomes. METHODS:The promoter regions...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/tp.0b013e3181fd0195

    authors: Ro H,Hwang YH,Kim H,Jeong JC,Lee H,Doh YS,Park HC,Oh KH,Park MH,Ha J,Yang J,Ahn C

    更新日期:2011-01-15 00:00:00

  • Activation of autoimmune B cells and chronic rejection.

    abstract::Allotransplantation into immunosuppressed individuals results in long-term survival of grafts. However, the grafts are damaged, probably at many stages before, during and after implantation. The hypothesis to be presented is that release of antigens and autoantigens from the chronically damaged graft results in breaki...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.tp.0000153294.38939.5f

    authors: Rose ML

    更新日期:2005-02-15 00:00:00

  • A comparison of the clinical utility of the radioimmunoassay, high-performance liquid chromatography, and TDx cyclosporine assays in outpatient renal transplant recipients.

    abstract::Rapid and precise cyclosporine measurements are necessary to maximize immunosuppression and minimize toxicity. The new cyclosporine and metabolites TDx fluorescent polarization immunoassay was studied to determine its precision, sensitivity, and stability. Further, it was compared with the existing radioimmunoassay an...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198902000-00013

    authors: Schroeder TJ,Brunson ME,Pesce AJ,Hindenlang LL,Mauser PA,Ruckrigl DI,Weibel ML,Wadih G,First MR

    更新日期:1989-02-01 00:00:00

  • Transplantation in miniature swine. I. Fixation of the major histocompatibility complex.

    abstract::Three strains of miniature swine, each homozygous for a different allele of the major histocompatibility locus (MHC), have been developed by a selective breeding scheme based on tissue typing of the offspring of each generation. Prior to breeding, the original parents were reciprocally immunized by skin grafts and lym...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197612000-00004

    authors: Sachs DH,Leight G,Cone J,Schwarz S,Stuart L,Rosenberg S

    更新日期:1976-12-01 00:00:00

  • Role of donor leukocyte chimerism in establishing the etiology of neutropenia after liver transplantation.

    abstract:BACKGROUND:The quantitation of donor leukocyte chimerism may aid in establishing the etiology of neutropenia after liver transplantation. METHODS:The incidence and clinical and laboratory characteristics of severe neutropenia were studied in adults who have undergone liver transplantation at our institution over the l...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199905270-00011

    authors: Jonsson JR,Gill D,Hogan PG,Clouston AD,Edwards-Smith C,Griffin AD,Balderson GA,Lynch SV,Strong RW,Powell EE

    更新日期:1999-05-27 00:00:00

  • Prediction of the Development of Persistent Massive Ascites After Living Donor Liver Transplantation Using a Perioperative Risk Score.

    abstract:BACKGROUND:Persistent massive ascites (PMAS) longer than 14 days after living donor liver transplantation is not uncommon and associated with worse outcome. A predictive risk scoring system was constructed after analysis of recipient, graft, and surgery-related factors. METHODS:We retrospectively reviewed adult living...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002174

    authors: Wu YJ,Wang SH,Elsarawy AM,Chan YC,Chen CL,Cheng BC,Li LC,Chiu CH,Lee YW,Lin YC,Wee SY,Pan CC,Kao YY,Chen YH,Lin HW,Lin LM,Lin CC

    更新日期:2018-06-01 00:00:00

  • Cellular and humoral immune responses of mice during immunological enhancement of an allogeneic tumor.

    abstract::Spleen cells obtained from C57BL/Ks (Ks, H-2d) mice carrying passively enhanced Sarcoma I (Sa I, H-2a) tumors were tested for alloantibody formation, lymphocyte blastogenesis, antibody-dependent cellular cytotoxicity, and cell to cell cytotoxicity. Assays were usually performed approximately 6 weeks after tumor inocul...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197803000-00011

    authors: Giorgi JV,Tokuda S,Goldberg EH,Shen FW

    更新日期:1978-03-01 00:00:00

  • Mechanisms of acquired thymic unresponsiveness to renal allografts. Thymic recognition of immunodominant allo-MHC peptides induces peripheral T cell anergy.

    abstract::We have recently shown that a single intrathymic injection of synthetic 25mer peptides, representing full sequences of the hypervariable domain of RT1.BuB (4 peptides) and RT1.Du beta (4 peptides) WF class II MHC molecules, 48 hr before transplantation induces donor-specific unresponsiveness to WF rat renal allografts...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Sayegh MH,Perico N,Gallon L,Imberti O,Hancock WW,Remuzzi G,Carpenter CB

    更新日期:1994-07-27 00:00:00

  • Genes associated with progression and recurrence of hepatocellular carcinoma in hepatitis C patients waiting and undergoing liver transplantation: preliminary results.

    abstract:BACKGROUND:Liver transplantation (LT) represents a curative treatment for small hepatocellular carcinoma (HCC). Potentially curable higher-stage HCC patients are denied LT due to the lack of cancer markers that predict progression and recurrence. METHODS:Thirty-eight candidates for LT with hepatitis C virus (HCV) cirr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000258643.05294.0b

    authors: Mas VR,Fisher RA,Archer KJ,Yanek KC,Williams B,Dumur CI,Maluf DG

    更新日期:2007-04-15 00:00:00

  • Immunohistochemical study of actin binding protein (p55) in the human kidney.

    abstract:BACKGROUND:In clinical transplantation, "passenger" dendritic cells (DCs) in the allograft have been thought to induce allograft rejection. However, the presence of DCs in the normal human kidney is controversial. Most reports have relied on the examination of MHC class I and II antigen expression in combination with D...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199804150-00025

    authors: Sonderbye L,Meehan S,Palsson R,Ahsan N,Ladefoged J,Langhoff E

    更新日期:1998-04-15 00:00:00

  • Early urologic complications after pediatric renal transplant: a single-center experience.

    abstract:BACKGROUND:Urologic complications cause substantial morbidity in the pediatric population after renal transplantation, but their impact on graft survival and transplant costs is poorly understood. In this retrospective review, we evaluated the records of all pediatric renal transplant recipients at our center from 1995...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31818b63da

    authors: Englesbe MJ,Lynch RJ,Heidt DG,Thomas SE,Brooks M,Dubay DA,Pelletier SJ,Magee JC

    更新日期:2008-12-15 00:00:00

  • Pulmonary and blood stream infections in adult living donor and cadaveric liver transplant patients.

    abstract:BACKGROUND:Infectious complications occur in approximately 50% of cadaveric liver transplant (CDLT) recipients. Living-donor liver transplantation (LDLT) is an established alternative to shorten the waiting time. Currently, the incidence of pulmonary infections after LDLT and the microbiologic causes are unknown. In th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31816f61a6

    authors: Saner FH,Olde Damink SW,Pavlakovic G,van den Broek MA,Rath PM,Sotiropoulos GC,Radtke A,Canbay A,Paul A,Nadalin S,Malagó M,Broelsch CE

    更新日期:2008-06-15 00:00:00

  • Uni- and multi-variate analysis of risk factors for early and late hepatic artery thrombosis after liver transplantation.

    abstract:BACKGROUND:Hepatic artery thrombosis (HAT) is a significant cause of morbidity after liver transplantation. The aims of this study are to identify and compare risk factors that might contribute to HAT. METHODS:A total of 424 liver transplants performed at the University of Virginia were reviewed. HAT was defined as co...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200103270-00014

    authors: Oh CK,Pelletier SJ,Sawyer RG,Dacus AR,McCullough CS,Pruett TL,Sanfey HA

    更新日期:2001-03-27 00:00:00

  • Use of recipient's left hepatic artery for artery reconstruction in right lobe living donor liver transplantation with duct-to-duct anastomosis.

    abstract:BACKGROUND:The hepatic arteries (HAs) in a hepatic graft are usually reconstructed using the recipient's left or right HAs in living donor liver transplantation (LDLT). There have been no apparent selection criteria concerning which of the recipient's HAs should be used. This study retrospectively investigated whether ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/tp.0b013e3181ce77c4

    authors: Uchiyama H,Ikegami T,Soejima Y,Ninomiya M,Kayashima H,Taketomi A,Shirabe K,Maehara Y

    更新日期:2010-04-27 00:00:00

  • Incidence, Predictors, and Impact on Survival of Long-term Cardiovascular Events After Liver Transplantation.

    abstract:BACKGROUND:Information on the risk factors, particularly kidney function, and impact of long-term cardiovascular events (CVE) after liver transplantation (LT) remains scarce. METHODS:This is a retrospective, single-center study that included consecutive LT recipients between 2007 and 2017. The incidence of CVE, their ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002852

    authors: Sastre L,García R,Gándara JG,Ruiz P,Lombardo J,Colmenero J,Navasa M,Crespo G

    更新日期:2020-02-01 00:00:00

  • Human hepatic stellate cells inhibit T-cell response through B7-H1 pathway.

    abstract:BACKGROUND:The liver is an immunologic privileged organ; liver allografts are accepted across major histocompatibility complex barriers in many species. However, hepatocyte transplants are acutely rejected, suggesting a role for liver nonparenchymal cells in regulating the immunoresponse. We have shown potent immunoreg...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318294caae

    authors: Charles R,Chou HS,Wang L,Fung JJ,Lu L,Qian S

    更新日期:2013-07-15 00:00:00