Evidence map›Paper›PMID 28483262›Full record

ArticleThe Journal of thoracic and cardiovascular surgery2017

Lungs donated after circulatory death and prolonged warm ischemia are transplanted successfully after enhanced ex vivo lung perfusion using adenosine A2B receptor antagonism.

Eric J Charles, J Hunter Mehaffey, Ashish K Sharma, Yunge Zhao, Mark H Stoler, James M Isbell, Christine L Lau, Curtis G Tribble, Victor E Laubach, Irving L Kron

Abstract read
In one paragraph

Article in The Journal of thoracic and cardiovascular surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Resilience of lung grafts to warm ischemia: assessment byTransplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  3. Review
  4. Frontiers in immunology · 2025
    Review
  5. Review
  6. Review
  7. Article
  8. Ex-vivo lung perfusion therapies: do they add value to organ donation?Current opinion in organ transplantation · 2022
    Review
  9. Review
  10. Review
  11. 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
  12. Review
  13. Journal of thoracic disease · 2021
    Review
  14. Review
  15. Extracellular nucleotide signaling in solid organ transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Review
  16. DCD lungs: is it all the same?Annals of cardiothoracic surgery · 2020
    Article
  17. Reduced-flow ex vivo lung perfusion to rehabilitate lungs donated after circulatory death.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2020
    Article
  18. Article
  19. Article
  20. Early Graft Dysfunction after Lung Transplantation.Current pulmonology reports · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

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

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

objectiveThe current supply of acceptable donor lungs is not sufficient for the number of patients awaiting transplantation. We hypothesized that ex vivo lung perfusion (EVLP) with targeted drug therapy would allow successful rehabilitation and transplantation of donation after circulatory death lungs exposed to 2 hours of warm ischemia.

methodsDonor porcine lungs were procured after 2 hours of warm ischemia postcardiac arrest and subjected to 4 hours of cold preservation or EVLP. ATL802, an adenosine A

resultsEVLP + ATL802 significantly improved dynamic lung compliance compared with EVLP (25.0 ± 1.8 vs 17.0 ± 2.4 mL/cmH

conclusionsSeverely injured donation after circulatory death lungs subjected to 2 hours of warm ischemia are transplanted successfully after enhanced EVLP with targeted drug therapy. Increased use of lungs after uncontrolled donor cardiac death and prolonged warm ischemia may be possible and may improve transplant wait list times and mortality.

Indexed as

LungAdenosine A2 Receptor AntagonistsAnimalsDisease Models, AnimalExtracorporeal CirculationLung TransplantationOrgan PreservationOrgan Preservation SolutionsReperfusionSwineWarm IschemiaAdenosine A2 Receptor AntagonistsOrgan Preservation Solutionsadenosine A2B receptor antagonismdonation after circulatory deathex vivo lung perfusionlung transplantationporcine lung transplant model

Identifiers

PMID28483262
PMCPMC6743073

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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.