Technical operation specifcation for the extracorporeal mechanical perfusion and cold preservation of the deceased donor kidney (2019 edition)
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摘要: 为了进一步规范尸体供肾体外机械灌注冷保存技术的临床应用,中华医学会器官移植学分会组织器官移植学专家在《中国公民逝世后器官捐献供肾体外低温机械灌注保存应用专家共识(2016版)》的基础上,从LifePort的材料准备和应用流程、LifePort的参数设置、改善LifePort转运供肾灌注参数的方法、LifePort在供肾质量评估中的应用、LifePort应用注意事项等方面,制订本规范。
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[1] PENG P, DING Z, HE Y, et al. Hypothermic machine perfusion versus static cold storage in deceased donor kidney transplantation: a systematic review and Meta-analysis of randomized controlled trials[J]. Artif Organs, 2018. DOI: 10.1111/aor.13364 [Epubahead of print]. [2] HAMAR M, SELZNER M. Ex-vivo machine perfusion for kidney preservation[J]. Curr Opin Organ Transplant, 2018, 23(3):369-374. DOI: 10.1097/MOT.0000000000000524. [3] KOX J, MOERS C, MONBALIU D, et al. The benefits of hypothermic machine preservation and short cold ischemia times in deceased donor kidneys[J]. Transplantation, 2018, 102(8):1344-1350. DOI: 10.1097/TP.0000000000002188. [4] TAI Q, XUE W, DING X, et al. Perfusion parameters of donation after cardiac death kidneys predict early transplant outcomes based on expanded criteria donor designation[J]. Transplant Proc, 2018, 50(1):79-84. DOI: 10.1016/j.transproceed.2017.11.018. [5] SANDAL S, PARASKEVAS S, CANTAROVICH M, et al. Renal resistance thresholds during hypothermic machine perfusion and transplantation outcomes - a retrospective cohort study[J]. Transpl Int, 2018, 31(6):658-669. DOI: 10.1111/tri.13146. [6] 中华医学会器官移植学分会, 中国医师协会器官移植医师分会.中国公民逝世后器官捐献供肾体外低温机械灌注保存专家共识(2016版)[J/CD].中华移植杂志(电子版), 2016, 10(4): 154-158.DOI: 10.3877/cma.j.issn.1674-3903.2016.04.002.Branch of Organ Transplantation of Chinese Medical Association, Branch of Organ Transplant Physician of Chinese Medical Doctor Association. Expert consensus of external hypothermic mechanical perfusion preservation in donor kidney from Chinese donation after citizens' death[J/CD].Chin J Transplant (Electr Vers), 2016, 10(4): 154-158. DOI: 10.3877/cma.j.issn.1674-3903.2016.04.002. [7] 项和立, 薛武军, 田普训, 等.机械灌注在公民逝世后器官捐献肾移植中的应用[J].中华器官移植杂志, 2015, 36(6):330-334.DOI: 10.3760/cma.j.issn.0254-1785.2015.06.002.XIANG HL, XUE WJ, TIAN PX, et al. Clinical application of mechanical perfusion in donation after citizens' death donor renal transplantation[J]. Chin J Organ Transplant, 2015, 36(6):330-334. DOI: 10.3760/cma.j.issn.0254-1785.2015.06.002. [8] 薛武军, 田普训, 项和立, 等.心脏死亡器官捐献供肾移植单中心60例经验总结[J].中华器官移植杂志, 2013, 34(7):387-391.DOI: 10.3760/cma.j.issn.0254-1785.2013.07.002.XUE WJ, TIAN PX, XIANG HL, et al. Donation after cardiac death (DCD) donor renal transplantation: a single center 60 cases of DCD experience[J]. Chin J Organ Transplant, 2013, 34(7):387-391.DOI: 10.3760/cma.j.issn.0254-1785.2013.07.002. [9] 叶啟发, 仲福顺, 钟自彪, 等.LifePort阻力指数对肾移植术后移植肾功能延迟恢复预测的研究进展[J/CD].中华移植杂志(电子版), 2017, 11(3): 188-191. DOI: 10.3877/cma.j.issn.1674-3903.2017.03.013.YE QF, ZHONG FS, ZHONG ZB, et al. Research progress of LifePort kidney transporter resistive index in the predication of delayed graft function of grafted kidneys[J/CD]. Chin J Transplant (Electr Vers), 2017, 11(3): 188-191.DOI: 10.3877/cma.j.issn.1674-3903.2017.03.013. [10] 宫念樵, 明长生, 卢峡, 等.低温机械灌注对公民逝世后器官捐献供肾的功能维护及质量评估[J].中华器官移植杂志, 2016, 37(8):449-452.DOI: 10.3760/cma.j.issn.0254-1785.2016.08.001.GONG NQ, MING CS, LU X, et al. Quality evaluation and functional repair of the donated kidneys by machine perfusion[J]. Chin J Organ Transplant, 2016, 37(8):449-452. DOI: 10.3760/cma.j.issn.0254-1785.2016.08.001. [11] 项和立, 薛武军, 田普训, 等.公民逝世后器官捐献供者的评估与维护[J].中华器官移植杂志, 2014, 35(7):392-395. DOI: 10.3760/cma.j.issn.0254-1785.2014.07.003.XIANG HL, XUE WJ, TIAN PX, et al. Donor evaluation and maintenance of donation after citizens' death [J].Chin J Organ Transplant, 2014, 35(7):392-395. DOI: 10.3760/cma.j.issn.0254-1785.2014.07.003. [12] 袁小鹏, 周健, 陈传宝, 等.机器灌注保存供肾在心脏死亡器官捐赠肾移植中的应用40例[J].中华器官移植杂志, 2014, 35(5):273-276.DOI: 10.3760/cma.j.issn.0254-1785.2014.05.005.YUAN XP, ZHOU J, CHEN CB, et al. Application of machine perfusion preservation of kidneys in 40 cases of cardiac death donor kidney transplantation[J]. Chin J Organ Transplant, 2014, 35(5):273-276. DOI: 10.3760/cma.j.issn.0254-1785.2014.05.005.
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