title: Preservation solutions for static cold storage of abdominal allografts: which is best?
abstract: OBJECTIVE
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Surgery, Columbia University College of Physicians and Surgeons, Center for Liver Disease and Transplantation, New York, New York, USA.
authors.forename: Ronald F
authors.initials: RF
authors.lastname: Parsons
authors.forename: James V
authors.initials: JV
authors.lastname: Guarrera
mesh_terms: D000005:Abdomen; D000241:Adenosine; D064591:Allografts; D000493:Allopurinol; D015925:Cryopreservation / Q000379:methods*; D004187:Disaccharides; D004573:Electrolytes; D005947:Glucose; D005971:Glutamates; D005978:Glutathione; D006639:Histidine; D006801:Humans; D007328:Insulin; D007422:Intestines; D007668:Kidney; D008099:Liver; D008353:Mannitol; D019188:Organ Preservation Solutions; D016377:Organ Transplantation; D010179:Pancreas; D011189:Potassium Chloride; D011343:Procaine; D011887:Raffinose; D015427:Reperfusion Injury / Q000517:prevention & control; D014019:Tissue Donors
chemical_list: C039984:Bretschneider cardioplegic solution; C088453:Celsior; D004187:Disaccharides; D004573:Electrolytes; D005971:Glutamates; D007328:Insulin; D019188:Organ Preservation Solutions; C055206:University of Wisconsin-lactobionate solution; D008353:Mannitol; D006639:Histidine; D011343:Procaine; D000493:Allopurinol; D011189:Potassium Chloride; D005978:Glutathione; D005947:Glucose; D000241:Adenosine; D011887:Raffinose