The purpose of this study is to evaluate the impact of normothermic machine perfusion in liver transplantation using grafts of brain death donors older or equal than 70 years
Mean donor age for liver transplantation in Tuscany, Italy, is increasing and is actually 71 years. Old donors are a valuable resource but their use has been related to a major incidence of primary non function (PNF), delayed graft function (DGF) and ischemic type biliary lesions (ITBL). Ischemia-reperfusion injury is a major reason for the development of these complications and and old grafts are more susceptible than younger ones. Normothermic machine perfusion (NMP) is a novel and promising technique that allows preservation in a more physiological environment. It is our belief that the use of NMP might reduce the impact of ischemia-reperfusion injuries in older grafts thus reducing the incidence of complications and providing a better outcome.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Patients undergoing liver transplant with the use of grafts preserved with normothermic perfusion machine
Patients undergoing liver transplant using statically cold preserved grafts
UO Chirurgia Epatica e del Trapianto di Fegato
Pisa, Pisa, Italy
RECRUITING6 months graft survival
Time frame: 180 days
Ischemia-reperfusion injury assessment through biopsies evaluation
Time frame: 1 day
ischemia reperfusion injury assessment through transaminases
AST level at post operative day number 7
Time frame: 7 days
Ischemia reperfusion injury assessment through incidence of ischemic type biliary lesions
Time frame: 180 days
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