Injury to hepatocytes and non-parenchymal cells during the preservation of human livers with UW or HTK solution: a determination of hepatocellular enzymes in the effluent perfusate for preoperative evaluation of the transplant quality

Transplant International : Official Journal of the European Society for Organ Transplantation
R LangeF W Eigler

Abstract

In 50 livers harvested for transplantation, injury was assessed by determination of the enzymes in the effluent perfusate after cold ischemia. The results were compared to the histology and the clinical course after transplantation. Whereas the release of the markers of endothelial cell injury did neither correlate with the history of the graft nor with the postoperative course, the release of hepatocellular enzymes in the perfusate did indicate preexisting damage of the liver even when the biopsy showed normal liver tissue. Of 12 livers with high activity of hepatocellular enzymes in the effluent (activity of more than twice the median), 7 showed delayed onset of function or a primary non-function. In the other 38 livers with an enzyme activity below this borderline no delayed function or primary non-function was observed. Because of additional influences a prognosis of the function after transplantation was not possible, but the determination of the enzymes in the effluent of marginal livers probably allows the preoperative recognition of organs which will do well.

References

Oct 1, 1992·Experimental and Molecular Pathology·K SawadaS Suehiro
Jan 1, 1990·Langenbecks Archiv für Chirurgie·G GubernatisH J Bretschneider
Oct 1, 1994·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·S M StrasbergM Hertl
Jan 1, 1994·Transplant International : Official Journal of the European Society for Organ Transplantation·M R SchönP Neuhaus

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Citations

May 12, 2001·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·M Kukan, P S Haddad
Jul 29, 2003·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Giuliano TestaChristoph E Broelsch

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