Artificial conditioner for stored organs.
We have developed an artificial organ conditioning system in order not only to condition but also evaluate the viability for transplant graft of kidneys which have been stored for a long time and damaged by warm ischaemia following cardiac arrest. The conditioning system consisted of an artificial lung, a roller pump, an organ chamber and perfusate. The perfusate was prepared with electrolytes, fluorocarbon, amino acid, glucose, an oxygen scavenger and so on. Conditioning was performed by continuous perfusion under mild hypothermia at 24 degrees C. Mildly damaged kidneys (0 and 30 minutes warm ischaemia rabbit kidneys) were well conditioned but severely damaged kidneys failed to produce urination. Our device successfully exposed the viability of stored kidneys and the successful conditioning of damaged kidneys due to warm ischaemia avoiding transplantation. By establishing our method, the harvesting of kidneys following cardiac arrest will be feasible.
Kawamura
A
A
Department of Surgery, Sapporo Hokuyu Hospital Artificial Organ & Transplantation Hospital, Japan.
Meguro
J
J
Takahashi
M
M
Ikeda
A
A
Hirai
H
H
Kukita
K
K
Yonekawa
M
M
Witmanowski
H
H
Yokota
N
N
Hayashi
T
T
D000818:Animals; D007668:Kidney / Q000502:physiology; D016030:Kidney Transplantation; D009926:Organ Preservation / Q000379:methods*; D010477:Perfusion; D011817:Rabbits; D012996:Solutions; D014022:Tissue Survival; D014556:Urine / Q000737:chemistry
D012996:Solutions