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Cited by 355

The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.

Observations on the ex situ perfusion of livers for transplantation

Open access
Watson, Christopher J.E., Kosmoliaptsis, Vasilis, Pley, Caitlin, Randle, Lucy, Fear, Corinna, Crick, Keziah, Gimson, Alexander E., Allison, Michael, Upponi, Sara, Brais, Rebecca, Jochmans, Ina, Butler, Andrew J.·2018·American Journal of Transplantation

Abstract

Normothermic ex situ liver perfusion might allow viability assessment of livers before transplantation. Perfusion characteristics were studied in 47 liver perfusions, of which 22 resulted in transplants. Hepatocellular damage was reflected in the perfusate transaminase concentrations, which correlated with posttransplant peak transaminase levels. Lactate clearance occurred within 3 hours in 46 of 47 perfusions, and glucose rose initially during perfusion in 44. Three livers required higher levels of bicarbonate support to maintain physiological pH, including one developing primary nonfunction. Bile production did not correlate with viability or cholangiopathy, but bile pH, measured in 16 of the 22 transplanted livers, identified three livers that developed cholangiopathy (peak pH < 7.4) from those that did not (pH > 7.5). In the 11 research livers where it could be studied, bile pH > 7.5 discriminated between the 6 livers exhibiting >50% circumferential stromal necrosis of septal bile ducts and 4 without necrosis; one liver with 25-50% necrosis had a maximum pH 7.46. Liver viability during normothermic perfusion can be assessed using a combination of transaminase release, glucose metabolism, lactate clearance, and maintenance of acid-base balance. Evaluation of bile pH may offer a valuable insight into bile duct integrity and risk of posttransplant ischemic cholangiopathy.

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Metadata

Authors
Watson, C. J. E., Kosmoliaptsis, V., Pley, C., Randle, L., Fear, C., Crick, K., Gimson, A. E., Allison, M., Upponi, S., Brais, R., Jochmans, I., & Butler, A. J.
Venue
American Journal of Transplantation
Publisher
Elsevier BV
Published
2018-08
Volume
18
Issue
8
Pages
2005-2020
ISSN
1600-6135 (ISSN-L)
OpenAlex
W2794134218
Cited by
355
References
22
FWCI
40.53
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Observations on the ex situ perfusion of livers for transplantation. https://app.cochat.ai/papers/10.1111/ajt.14687
The paper
Watson, C. J. E., Kosmoliaptsis, V., Pley, C., Randle, L., Fear, C., Crick, K., Gimson, A. E., Allison, M., Upponi, S., Brais, R., Jochmans, I., & Butler, A. J. (2018). Observations on the ex situ perfusion of livers for transplantation. American Journal of Transplantation. https://doi.org/10.1111/ajt.14687

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