Evidence map›Paper›PMID 30424553›Full record

ReviewInternational journal of molecular sciences2018

Impact of Machine Perfusion on Biliary Complications after Liver Transplantation.

Andrea Schlegel, Philipp Dutkowski

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. [Amatoxin poisoning with acute liver failure].Chirurgie (Heidelberg, Germany) · 2025
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  11. Selected liver grafts from donation after circulatory death can be safely used for retransplantation - a multicenter retrospective study.Transplant international : official journal of the European Society for Organ Transplantation · 2020
    Article
  12. Article
  13. Review
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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

2 authors.

Andrea SchlegelDepartment of Surgery & Transplantation, University Hospital Zurich, 8091 Zurich, Switzerland. Andrea.Schlegel@uhb.nhs.uk.ORCID 0000-0002-9385-9847
Philipp DutkowskiDepartment of Surgery & Transplantation, University Hospital Zurich, 8091 Zurich, Switzerland. philipp.dutkowski@usz.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe in this review the different types of injuries caused to the biliary tree after liver transplantation. Furthermore, we explain underlying mechanisms and why oxygenated perfusion concepts could not only protect livers, but also repair high-risk grafts to prevent severe biliary complications and graft loss. Accordingly, we summarize experimental studies and clinical applications of machine liver perfusion with a focus on biliary complications after liver transplantation. Key points: (1) Acute inflammation with subsequent chronic ongoing liver inflammation and injury are the main triggers for cholangiocyte injury and biliary tree transformation, including non-anastomotic strictures; (2) Hypothermic oxygenated perfusion (HOPE) protects livers from initial oxidative injury at normothermic reperfusion after liver transplantation. This is a unique feature of a cold oxygenation approach, which is effective also end-ischemically, e.g., after cold storage, due to mitochondrial repair mechanisms. In contrast, normothermic oxygenated perfusion concepts protect by reducing cold ischemia, and are therefore most beneficial when applied instead of cold storage; (3) Due to less downstream activation of cholangiocytes, hypothermic oxygenated perfusion also significantly reduces the development of biliary strictures after liver transplantation.

Indexed as

PerfusionAnimalsBiliary TractHumansLiver TransplantationModels, BiologicalRisk Factorscholangiocyte injuryhypothermic oxygenated perfusion (HOPE)mitochondria

Identifiers

PMID30424553
PMCPMC6274934

What OpenQuestion holds

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Registered trials

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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.