Preservation solutions for static cold storage of abdominal allografts: which is best?
Publication/Presentation Date
4-1-2014
Abstract
PURPOSE OF REVIEW: To update the reader on the recent literature in liver, kidney, pancreas, and intestine static cold preservation, and to identify which solutions are most advantageous for each organ.
RECENT FINDINGS: The comparison of randomized trials of histidine-tryptophan-ketoglutarate (HTK), Celsior, and University of Wisconsin solutions has shown equivalent risk of delayed graft function after kidney transplantation. Similar outcomes have been observed after pancreas preservation with University of Wisconsin, HTK, and Celsior solution. In live-donor liver transplantation, University of Wisconsin and HTK solution have shown equivalent results, whereas in the recent trials of deceased-donor liver transplantation, University of Wisconsin, HTK, and Celsior solutions have shown equivalence. Contrary to the most clinical trials, national registry data in kidney, pancreas, and liver transplantation demonstrate more detrimental effects and earlier graft loss after preservation with HTK versus University of Wisconsin solution. Early outcomes after intestinal transplantation with University of Wisconsin or HTK solution have shown no significant difference and animal studies indicate intraluminal preservation may be beneficial.
SUMMARY: The University of Wisconsin solution is the standard criterion static cold preservation for the procurement of liver, kidney, pancreas, and intestine. University of Wisconsin, HTK, and Celsior solutions all provide similar allograft outcomes in most clinical trials, but subtle differences have become more apparent in the recent studies and registry reports.
Volume
19
Issue
2
First Page
100
Last Page
107
ISSN
1531-7013
Published In/Presented At
Parsons, R. F., & Guarrera, J. V. (2014). Preservation solutions for static cold storage of abdominal allografts: which is best?. Current opinion in organ transplantation, 19(2), 100–107. https://doi.org/10.1097/MOT.0000000000000063
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
24553501
Department(s)
Administration and Leadership
Document Type
Article