Evidence map›Paper›PMID 33188221›Full record

ArticleNature communications2020

Clinical transplantation using negative pressure ventilation ex situ lung perfusion with extended criteria donor lungs.

Max T Buchko, Nasim Boroumand, Jeffrey C Cheng, Alim Hirji, Kieran Halloran, Darren H Freed, Jayan Nagendran

Registry-linked trialAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03293043 (The University of Alberta Negative Pressure Ventilation Ex-Vivo Lung Perfusion), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT03293043 nacompletednot on this map

The University of Alberta Negative Pressure Ventilation Ex-Vivo Lung Perfusion (NPV-EVLP) Trial

TypeinterventionalSponsorUniversity of AlbertaRan2018 to 2021Enrolled12ConditionsEx-Vivo Lung TransplantationArmsNPV-EVLP
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. 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

7 authors.

Max T BuchkoDivision of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-4396-1229
Nasim BoroumandDivision of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, AB, Canada.
Jeffrey C ChengDivision of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, AB, Canada.
Alim HirjiDivision of Pulmonary Medicine, Department of Medicine, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-6879-2345
Kieran HalloranDivision of Pulmonary Medicine, Department of Medicine, University of Alberta, Edmonton, AB, Canada.
Darren H FreedDivision of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-6239-1444
Jayan NagendranDivision of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, AB, Canada. jayan@ualberta.ca.ORCID 0000-0001-5827-9823

Funding

CIHR
6 · The paper itself

Abstract

Lung transplantation remains the best treatment option for end-stage lung disease; however, is limited by a shortage of donor grafts. Ex situ lung perfusion, also known as ex vivo lung perfusion, has been shown to allow for the safe evaluation and reconditioning of extended criteria donor lungs, increasing donor utilization. Negative pressure ventilation ex situ lung perfusion has been shown, preclinically, to result in less ventilator-induced lung injury than positive pressure ventilation. Here we demonstrate that, in a single-arm interventional study (ClinicalTrials.gov number NCT03293043) of 12 extended criteria donor human lungs, negative pressure ventilation ex situ lung perfusion allows for preservation and evaluation of donor lungs with all grafts and patients surviving to 30 days and recovered to discharge from hospital. This trial also demonstrates that ex situ lung perfusion is safe and feasible with no patients demonstrating primary graft dysfunction scores grade 3 at 72 h or requiring post-operative extracorporeal membrane oxygenation.

Indexed as

Lung TransplantationPerfusionTissue DonorsVentilators, Negative-PressureAdultBlood PressureHemodynamicsHumansLungMiddle AgedOrgan PreservationPulmonary ArteryTreatment Outcome

Identifiers

PMID33188221
PMCPMC7666579

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Registered trials

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.