Evidence map›Paper›PMID 29509572›Full record

SynthesisTransplantation2018

Porcine Isolated Liver Perfusion for the Study of Ischemia Reperfusion Injury: A Systematic Review.

Francesca Maione, Nicholas Gilbo, Silvia Lazzaro, Peter Friend, Giovanni Camussi, Renato Romagnoli, Jacques Pirenne, Ina Jochmans, Diethard Monbaliu

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Immunometabolism of Liver Xenotransplantation and Prospective Solutions.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Pushing the boundaries of innovation: the potential ofFrontiers in cardiovascular medicine · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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

9 authors at 1 institution in 1 country.

Francesca MaioneLiver Transplantation Center and General Surgery 2U, AOU Città della Salute e della Scienza di Torino, University of Torino, Italy.
Nicholas GilboAbdominal Transplant Surgery, Department of Microbiology and Immunology, KU Leuven, University Hospitals, Leuven, Belgium.
Silvia LazzaroAbdominal Transplant Surgery, Department of Microbiology and Immunology, KU Leuven, University Hospitals, Leuven, Belgium.
Peter FriendNuffield Department of Surgery, University of Oxford, Oxford, United Kingdom.
Giovanni CamussiMolecular Biotechnology Center, Department of Medical Sciences, University of Turin, Italy.
Renato RomagnoliLiver Transplantation Center and General Surgery 2U, AOU Città della Salute e della Scienza di Torino, University of Torino, Italy.
Jacques PirenneAbdominal Transplant Surgery, Department of Microbiology and Immunology, KU Leuven, University Hospitals, Leuven, Belgium.
Ina JochmansAbdominal Transplant Surgery, Department of Microbiology and Immunology, KU Leuven, University Hospitals, Leuven, Belgium.
Diethard MonbaliuAbdominal Transplant Surgery, Department of Microbiology and Immunology, KU Leuven, University Hospitals, Leuven, Belgium.
University of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding ischemia reperfusion injury (IRI) is essential to further improve outcomes after liver transplantation (LT). Porcine isolated liver perfusion (ILP) is increasingly used to reproduce LT-associated IRI in a strictly controlled environment. However, whether ILP is a reliable substitute of LT was never validated.

methodsWe systematically reviewed the current experimental setups for ILP and parameters of interest reflecting IRI.

resultsIsolated liver perfusion was never compared with transplantation in animals. Considerable variability exists between setups, and comparative data are unavailable. Experience so far suggests that centrifugal pump(s) with continuous flow are preferred to reduce the risk of embolism. Hepatic outflow can be established by cannulation of the inferior vena cava or freely drained in an open bath. Whole blood at approximately 38°C, hematocrit of 20% or greater, and the presence of leukocytes to trigger inflammation is considered the optimal perfusate. A number of parameters related to the 4 liver compartments (hepatocyte, cholangiocyte, endothelium, immune cells) are available; however, their significance and relation to clinical outcomes is not well described.

conclusionsPorcine ILP provides a reproducible model to study early IRI events. As all models, it has its limitations. A standardization of the setup would allow comparison of data and progress in the field.

Indexed as

Models, AnimalAnimalsExtracorporeal CirculationLiverLiver TransplantationPerfusionReperfusion InjurySwine

Identifiers

PMID29509572
PMCPMC7228624
OpenAlexW2792978437

What OpenQuestion holds

Textmetadata
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.