Evidence map›Paper›PMID 31963739›Full record

ArticleJournal of clinical medicine2020

Split-Liver Ex Situ Machine Perfusion: A Novel Technique for Studying Organ Preservation and Therapeutic Interventions.

Viola Huang, Negin Karimian, Danielle Detelich, Siavash Raigani, Sharon Geerts, Irene Beijert, Fermin M Fontan, Mohamed M Aburawi, Sinan Ozer, Peony Banik and 7 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Time as a Therapeutic Ally: The Promise of Long-Term Solid Organ and Tissue Perfusion.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Review
  3. Revealing the potential of non-transplanted donor organs: a comparative analysis in the Eurotransplant region.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Thrombolytic Therapy DuringFrontiers in surgery · 2021
    Article
  9. Research progress on hepatic machine perfusion.International journal of medical sciences · 2021
    Review
  10. Frontiers in surgery · 2021
    Article
  11. Review
  12. Review
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

17 authors.

Viola HuangDivision of Transplant Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Negin KarimianDivision of Transplant Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Danielle DetelichDivision of Transplant Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Siavash RaiganiDivision of Transplant Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.ORCID 0000-0003-2762-7287
Sharon GeertsCenter for Engineering in Medicine, Department of Surgery, Massachusetts General Hospital, Boston, MA 02114, USA.
Irene BeijertSection of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, University Medical Center Groningen, 9700 Groningen, The Netherlands.
Fermin M FontanDivision of Transplant Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Mohamed M AburawiDivision of Transplant Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Sinan OzerCenter for Engineering in Medicine, Department of Surgery, Massachusetts General Hospital, Boston, MA 02114, USA.
Peony BanikCenter for Engineering in Medicine, Department of Surgery, Massachusetts General Hospital, Boston, MA 02114, USA.
Florence LinCenter for Engineering in Medicine, Department of Surgery, Massachusetts General Hospital, Boston, MA 02114, USA.ORCID 0000-0002-4846-7414
Murat KarabacakCenter for Engineering in Medicine, Department of Surgery, Massachusetts General Hospital, Boston, MA 02114, USA.ORCID 0000-0003-2761-5593
Ehab O A HafizElectron Microscopy Department, Theodor Bilharz Research Institute, Giza 12411, Egypt.ORCID 0000-0002-1551-4309
Robert J PorteSection of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, University Medical Center Groningen, 9700 Groningen, The Netherlands.
Korkut UygunDivision of Transplant Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
James F MarkmannDivision of Transplant Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Heidi YehDivision of Transplant Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

Funding

TRAINING IN TRANSPLANTATION BIOLOGYT32AI007529 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI MADSEN, JOREN C · 1998 to 2024
$6.4M
Recellularization of Liver BioscaffoldsR01DK084053 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI UYGUN, BASAK ELIF, YARMUSH, MARTIN L · 2009 to 2020
$4.6M
High subzero preservation of liver for transplantationR01DK114506 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI TONER, MEHMET, UYGUN, KORKUT · 2017 to 2025
$4.4M
Metabolic Modeling for Cadaveric Organ ResuscitationR01DK096075 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI UYGUN, KORKUT, YEH, HEIDI · 2012 to 2022
$3.9M
Expanding the Liver Transplant Organ Pool through Ex Vivo Liver PerfusionR01DK107875 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI MARKMANN, JAMES FRANCIS, UYGUN, KORKUT · 2016 to 2020
$2.8M
Modeling Human Liver Perfusion Dynamics to Discover Targets for ex vivo Organ TherapyR21EB020819 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI UYGUN, KORKUT · 2016 to 2017
$470k
NIAID NIH HHS T32 AI007529NIBIB NIH HHS R21 EB020819NIDDK NIH HHS R01 DK084053NIDDK NIH HHS R01 DK096075NIDDK NIH HHS R01 DK107875NIDDK NIH HHS R01 DK114506NIH HHS R01DK084053NIH HHS R01DK096075NIH HHS R01DK107875NIH HHS R01DK114506NIH HHS R21EB020819
6 · The paper itself

Abstract

Ex situ machine perfusion is a promising technology to help improve organ viability prior to transplantation. However, preclinical studies using discarded human livers to evaluate therapeutic interventions and optimize perfusion conditions are limited by significant graft heterogeneity. In order to improve the efficacy and reproducibility of future studies, a split-liver perfusion model was developed to allow simultaneous perfusion of left and right lobes, allowing one lobe to serve as a control for the other. Eleven discarded livers were surgically split, and both lobes perfused simultaneously on separate perfusion devices for 3 h at subnormothermic temperatures. Lobar perfusion parameters were also compared with whole livers undergoing perfusion. Similar to whole-liver perfusions, each lobe in the split-liver model exhibited a progressive decrease in arterial resistance and lactate levels throughout perfusion, which were not significantly different between right and left lobes. Split liver lobes also demonstrated comparable energy charge ratios. Ex situ split-liver perfusion is a novel experimental model that allows each graft to act as its own control. This model is particularly well suited for preclinical studies by avoiding the need for large numbers of enrolled livers necessary due to the heterogenous nature of discarded human liver research.

Indexed as

energy chargeex situ perfusionliver perfusionliver transplantmachine perfusionnormothermicsplit liversubnormothermic

Identifiers

PMID31963739
PMCPMC7019984

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.