Evidence map›Paper›PMID 27614736›Full record

ArticleThe Annals of thoracic surgery2016

Donation After Circulatory Death Lungs Transplantable Up to Six Hours After Ex Vivo Lung Perfusion.

Eric J Charles, Mary E Huerter, Cynthia E Wagner, Ashish K Sharma, Yunge Zhao, Mark H Stoler, J Hunter Mehaffey, James M Isbell, Christine L Lau, Curtis G Tribble and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The Annals of thoracic surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
6.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 35 citations in OpenAlex.

  1. Research advances in consistency and variability inJournal of thoracic disease · 2026
    Review
  2. Review
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  5. The potential of ex vivo lung perfusion on improving organ quality and ameliorating ischemia reperfusion injury.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Review
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  13. Molecular imaging of pulmonary diseases.Respiratory research · 2018
    Review
  14. In vivo lung perfusion rehabilitates sepsis-induced lung injury.The Journal of thoracic and cardiovascular surgery · 2018
    Article
  15. Article
  16. Annals of translational medicine · 2017
    Review
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Eric J CharlesDepartment of Surgery, University of Virginia Health System, Charlottesville, Virginia.
Mary E HuerterDepartment of Surgery, University of Virginia Health System, Charlottesville, Virginia.
Cynthia E WagnerDepartment of Surgery, University of Virginia Health System, Charlottesville, Virginia.
Ashish K SharmaDepartment of Surgery, University of Virginia Health System, Charlottesville, Virginia.
Yunge ZhaoDepartment of Surgery, University of Virginia Health System, Charlottesville, Virginia.
Mark H StolerDepartment of Pathology, University of Virginia Health System, Charlottesville, Virginia.
J Hunter MehaffeyDepartment of Surgery, University of Virginia Health System, Charlottesville, Virginia.
James M IsbellDepartment of Surgery, University of Virginia Health System, Charlottesville, Virginia.
Christine L LauDepartment of Surgery, University of Virginia Health System, Charlottesville, Virginia.
Curtis G TribbleDepartment of Surgery, University of Virginia Health System, Charlottesville, Virginia.
Victor E LaubachDepartment of Surgery, University of Virginia Health System, Charlottesville, Virginia.
Irving L KronDepartment of Surgery, University of Virginia Health System, Charlottesville, Virginia. Electronic address: ilk@virginia.edu.
University of Virginia Health System · US

Funding

Cardiovascular Surgery Training ProgramT32HL007849 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI KRON, IRVING L., LAUBACH, VICTOR E · 1998 to 2025
$7.0M
Ex vivo perfusion in a lung box for rehabilitation of donor lungsR01HL119218 · NHLBI · UNIVERSITY OF VIRGINIA · PI KRON, IRVING L., LAUBACH, VICTOR E · 2013 to 2017
$3.3M
NHLBI NIH HHS R01 HL119218NHLBI NIH HHS T32 HL007849
6 · The paper itself

Abstract

backgroundDespite the critical need for donor lungs, logistic and geographic barriers hinder lung utilization. We hypothesized that lungs donated after circulatory death subjected to 6 hours of cold preservation after ex vivo lung perfusion (EVLP) would have similar outcomes after transplantation as lungs transplanted immediately after EVLP, and that both would perform superiorly compared with lungs transplanted immediately after procurement.

methodsDonor porcine lungs were procured after circulatory death and 15 minutes of warm ischemia. Three groups (n = 5 per group) were randomized: immediate left lung transplantation (Immediate group), EVLP for 4 hours followed by transplantation (EVLP group), or EVLP for 4 hours followed by 6 hours of cold preservation followed by transplantation (EVLP+Cold group). Lungs were reperfused for 2 hours before obtaining pulmonary vein samples for partial pressure of oxygen/fraction of inspired oxygen ratio calculations, airway pressures for compliance measurements, and wet/dry weight ratios.

resultsThe partial pressure of oxygen/fraction of inspired oxygen ratios in the EVLP and EVLP+Cold groups were significantly improved compared with those in the Immediate group (429.7 ± 51.8 and 436.7 ± 48.2 versus 117.4 ± 22.9 mm Hg, respectively). In addition, dynamic compliance was significantly improved in the EVLP and EVLP+Cold groups compared with immediate group (26.2 ± 4.2 and 27.9 ± 3.5 versus 11.1 ± 2.4 mL/cmH

conclusionsLungs donated after circulatory death can be successfully transplanted as much as 6 hours after EVLP. Cold preservation of lungs after ex vivo assessment and rehabilitation may improve organ allocation, even to distant recipients, without compromising allograft function.

Indexed as

Extracorporeal CirculationOrgan PreservationShockAnimalsFemaleLung TransplantationMaleSwineTime FactorsTissue and Organ HarvestingWarm Ischemia

Identifiers

PMID27614736
PMCPMC5112144
OpenAlexW2515033923

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.