Efforts have been made by the transplant community to expand the deceased donor pool in paediatric liver transplantation (LT). The growing experience on donation after circulatory death (DCD) for adult LT has encouraged its use also in children, albeit in selective cases, opening new perspectives for paediatric patients. Even though there has recently been a slight increase in the number of DCD livers transplanted in children, with satisfactory graft and patient outcomes, the use of DCD grafts in paediatric recipients is still controversial due to morbid outcomes associated with DCD grafts. In this context, recent advances in the optimization of donor support by extracorporeal membrane oxygenation and in the graft preservation by liver machine perfusion could find application in order to expand the donor pool in paediatric LT. In the present study we review the current literature on DCD liver grafts transplanted in children and on the use of extracorporeal donor support and liver perfusion machines in paediatrics, with the aim of defining the current status and future perspectives of paediatric LT.

Angelico, R., Perera, M., Manzia, T.m., Parente, A., Grimaldi, C., Spada, M. (2018). Donation after circulatory death in paediatric liver transplantation: current status and future perspectives in the machine perfusion era. BIOMED RESEARCH INTERNATIONAL, 2018, 1756069 [10.1155/2018/1756069].

Donation after circulatory death in paediatric liver transplantation: current status and future perspectives in the machine perfusion era

Angelico, Roberta;Manzia, Tommaso Maria;
2018-01-01

Abstract

Efforts have been made by the transplant community to expand the deceased donor pool in paediatric liver transplantation (LT). The growing experience on donation after circulatory death (DCD) for adult LT has encouraged its use also in children, albeit in selective cases, opening new perspectives for paediatric patients. Even though there has recently been a slight increase in the number of DCD livers transplanted in children, with satisfactory graft and patient outcomes, the use of DCD grafts in paediatric recipients is still controversial due to morbid outcomes associated with DCD grafts. In this context, recent advances in the optimization of donor support by extracorporeal membrane oxygenation and in the graft preservation by liver machine perfusion could find application in order to expand the donor pool in paediatric LT. In the present study we review the current literature on DCD liver grafts transplanted in children and on the use of extracorporeal donor support and liver perfusion machines in paediatrics, with the aim of defining the current status and future perspectives of paediatric LT.
2018
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/18 - CHIRURGIA GENERALE
English
Con Impact Factor ISI
Adult; Brain Death; Child; Child, Preschool; Humans; Liver; Liver Transplantation; Pediatrics; Perfusion; Tissue Donors; Tissue and Organ Procurement; Biochemistry, Genetics and Molecular Biology (all); Immunology and Microbiology (all)
Angelico, R., Perera, M., Manzia, T.m., Parente, A., Grimaldi, C., Spada, M. (2018). Donation after circulatory death in paediatric liver transplantation: current status and future perspectives in the machine perfusion era. BIOMED RESEARCH INTERNATIONAL, 2018, 1756069 [10.1155/2018/1756069].
Angelico, R; Perera, Mtpr; Manzia, Tm; Parente, A; Grimaldi, C; Spada, M
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/209040
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