European Society of Organ Transplantation (ESOT) Consensus Statement on Machine Perfusion in Cardiothoracic Transplant

The machine perfusion (MP) of transplantable grafts has emerged as an upcoming field in Cardiothoracic (CT) transplantation during the last decade. This technology carries the potential to assess, preserve, and even recondition thoracic grafts before transplantation, so it is a possible game-changer...

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Published inTransplant international Vol. 37; p. 13112
Main Authors Amarelli, Cristiano, Bello, Irene, Aigner, Clemens, Berman, Marius, Boffini, Massimo, Clark, Stephen, Dalvindt, Marita, de Wolf, Julien, Ensminger, Stephan, Gomez de Antonio, David, Hoyos, Lucas, Palmieri, Lucrezia, Schweiger, Martin, Sponga, Sandro, Wiegmann, Bettina, Neyrinck, Arne
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media SA 2024
Frontiers Media S.A
Subjects
Blood & organ donations
cardio-thoracic transplantation
Clinical Medicine
Cold storage
Consensus
Cryopreservation
Decision making
Economics
Europe
ex-situ heart perfusion
ex-situ lung perfusion
graft preservation
Heart failure
Heart Transplantation
Heart transplants
Heart-Lung Transplantation
Humans
Ischemia
Kirurgi
Klinisk medicin
Lung Transplantation
Lung transplants
machine perfusion
Medical and Health Sciences
Medicin och hälsovetenskap
Morbidity
Organ Preservation - methods
Organ Transplantation
Perfusion - methods
Pharmacology
Societies, Medical
Surgery
Tissue Donors - supply & distribution
Europe
United States > US
ex-situ heart perfusion
machine perfusion
cardio-thoracic transplantation
graft preservation
ex-situ lung perfusion
Online AccessGet full text
ISSN1432-2277
0934-0874
1432-2277
DOI10.3389/ti.2024.13112

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Abstract The machine perfusion (MP) of transplantable grafts has emerged as an upcoming field in Cardiothoracic (CT) transplantation during the last decade. This technology carries the potential to assess, preserve, and even recondition thoracic grafts before transplantation, so it is a possible game-changer in the field. This technology field has reached a critical turning point, with a growing number of publications coming predominantly from a few leading institutions, but still need solid scientific evidence. Due to the increasing need to expand the donor pool, especially in Europe, where the donor age is steeply increased, a consensus has been established to address the growing need and knowledge of machine perfusion in cardiothoracic transplantation, targeting the unmet scientific need in this growing field but also, priorities for development, and regional differences in utilization rates and organizational issues. To address MP in CT, the European Society of Organ Transplantation (ESOT) convened a dedicated Working group comprised of experts in CT to review literature about MP to develop guidelines that were subsequently discussed and voted on during the Consensus Conference that took place in person in Prague during the TLJ 3.0 in November 2022. The findings and recommendations of the Cardiothoracic Working Group on MP are presented in this article.
AbstractList The machine perfusion (MP) of transplantable grafts has emerged as an upcoming field in Cardiothoracic (CT) transplantation during the last decade. This technology carries the potential to assess, preserve, and even recondition thoracic grafts before transplantation, so it is a possible game-changer in the field. This technology field has reached a critical turning point, with a growing number of publications coming predominantly from a few leading institutions, but still need solid scientific evidence. Due to the increasing need to expand the donor pool, especially in Europe, where the donor age is steeply increased, a consensus has been established to address the growing need and knowledge of machine perfusion in cardiothoracic transplantation, targeting the unmet scientific need in this growing field but also, priorities for development, and regional differences in utilization rates and organizational issues. To address MP in CT, the European Society of Organ Transplantation (ESOT) convened a dedicated Working group comprised of experts in CT to review literature about MP to develop guidelines that were subsequently discussed and voted on during the Consensus Conference that took place in person in Prague during the TLJ 3.0 in November 2022. The findings and recommendations of the Cardiothoracic Working Group on MP are presented in this article.
The mainstream method of organ preservation during the last 40 years has been hypothermic preservation by static cold storage (SCS). [...]it has enabled the expansion of donor criteria, including after circulatory death, thereby increasing the organ pool. PGD has a dreadful course, affects postoperative ICU stays, and may require expensive treatments like ECMO and temporary circulatory support, affecting ICU stay, costs, morbidity, and mortality. [...]alternative sustainable paradigms to improve CT organ preservation are being researched. Furthermore, these data are required to support decision-making, pharmacoeconomic evaluations, and logistical and organizational models that may be sustainable in different social and healthcare systems. [...]MP could provide:
The machine perfusion (MP) of transplantable grafts has emerged as an upcoming field in Cardiothoracic (CT) transplantation during the last decade. This technology carries the potential to assess, preserve, and even recondition thoracic grafts before transplantation, so it is a possible game-changer in the field. This technology field has reached a critical turning point, with a growing number of publications coming predominantly from a few leading institutions, but still need solid scientific evidence. Due to the increasing need to expand the donor pool, especially in Europe, where the donor age is steeply increased, a consensus has been established to address the growing need and knowledge of machine perfusion in cardiothoracic transplantation, targeting the unmet scientific need in this growing field but also, priorities for development, and regional differences in utilization rates and organizational issues. To address MP in CT, the European Society of Organ Transplantation (ESOT) convened a dedicated Working group comprised of experts in CT to review literature about MP to develop guidelines that were subsequently discussed and voted on during the Consensus Conference that took place in person in Prague during the TLJ 3.0 in November 2022. The findings and recommendations of the Cardiothoracic Working Group on MP are presented in this article.The machine perfusion (MP) of transplantable grafts has emerged as an upcoming field in Cardiothoracic (CT) transplantation during the last decade. This technology carries the potential to assess, preserve, and even recondition thoracic grafts before transplantation, so it is a possible game-changer in the field. This technology field has reached a critical turning point, with a growing number of publications coming predominantly from a few leading institutions, but still need solid scientific evidence. Due to the increasing need to expand the donor pool, especially in Europe, where the donor age is steeply increased, a consensus has been established to address the growing need and knowledge of machine perfusion in cardiothoracic transplantation, targeting the unmet scientific need in this growing field but also, priorities for development, and regional differences in utilization rates and organizational issues. To address MP in CT, the European Society of Organ Transplantation (ESOT) convened a dedicated Working group comprised of experts in CT to review literature about MP to develop guidelines that were subsequently discussed and voted on during the Consensus Conference that took place in person in Prague during the TLJ 3.0 in November 2022. The findings and recommendations of the Cardiothoracic Working Group on MP are presented in this article.
Author Sponga, Sandro
Wiegmann, Bettina
Boffini, Massimo
Aigner, Clemens
Schweiger, Martin
Berman, Marius
Clark, Stephen
Dalvindt, Marita
Gomez de Antonio, David
de Wolf, Julien
Bello, Irene
Neyrinck, Arne
Ensminger, Stephan
Amarelli, Cristiano
Hoyos, Lucas
Palmieri, Lucrezia
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Copyright Copyright © 2024 Amarelli, Bello, Aigner, Berman, Boffini, Clark, Dalvindt, de Wolf, Ensminger, Gomez de Antonio, Hoyos, Palmieri, Schweiger, Sponga, Wiegmann, Neyrinck and the ESOT Guidelines Taskforce.
2024. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
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– notice: 2024. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
CorporateAuthor the ESOT Guidelines Taskforce
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Department of Health Sciences
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Vård i högteknologisk miljö
Lunds universitet
Institutionen för hälsovetenskaper
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Lund University
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Keywords ex-situ heart perfusion
machine perfusion
cardio-thoracic transplantation
graft preservation
ex-situ lung perfusion
Language English
License Copyright © 2024 Amarelli, Bello, Aigner, Berman, Boffini, Clark, Dalvindt, de Wolf, Ensminger, Gomez de Antonio, Hoyos, Palmieri, Schweiger, Sponga, Wiegmann, Neyrinck and the ESOT Guidelines Taskforce.
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Snippet The machine perfusion (MP) of transplantable grafts has emerged as an upcoming field in Cardiothoracic (CT) transplantation during the last decade. This...
The mainstream method of organ preservation during the last 40 years has been hypothermic preservation by static cold storage (SCS). [...]it has enabled the...
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SubjectTerms Blood & organ donations
cardio-thoracic transplantation
Clinical Medicine
Cold storage
Consensus
Cryopreservation
Decision making
Economics
Europe
ex-situ heart perfusion
ex-situ lung perfusion
graft preservation
Heart failure
Heart Transplantation
Heart transplants
Heart-Lung Transplantation
Humans
Ischemia
Kirurgi
Klinisk medicin
Lung Transplantation
Lung transplants
machine perfusion
Medical and Health Sciences
Medicin och hälsovetenskap
Morbidity
Organ Preservation - methods
Organ Transplantation
Perfusion - methods
Pharmacology
Societies, Medical
Surgery
Tissue Donors - supply & distribution
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Title European Society of Organ Transplantation (ESOT) Consensus Statement on Machine Perfusion in Cardiothoracic Transplant
URI https://www.ncbi.nlm.nih.gov/pubmed/39649067
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Volume 37
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