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AFP
Paris
Keeping transplant livers on"life support"at body temperature preserves them better than the prevailing method of near-freezing, and could reduce the number of donor organs thrown away, a study said Wednesday.
Currently most donor livers are stored in an inert state at temperatures just above freezing until they can be transferred to a recipient.
But many end up damaged, meaning that only a portion of livers harvested for transplant get used despite an urgent, and growing, organ shortage.
"Approximately one in five patients died on the UK liver transplant waiting list last year, whilst, paradoxically, almost 500 livers from deceased organ donors were not... transplanted,"study co-author Constantin Coussios of the University of Oxford told AFP.
"This was because the suboptimal condition of many donor organs is such that these are unlikely to work after being preserved in an ice box.
Despite many advances in liver transplantation, the method of organ preservation has scarcely changed in 30 years."
A newer method called normothermic machine perfusion (NMP) uses a machine to pump blood through the liver at 37 degrees Celsius (98,6 degrees Fahrenheit) -- the human body temperature.
The technique keeps the liver functioning artificially while feeding it oxygenated blood, medicine, and nutrients.
But scientists did not know if it actually works better than the prevailing method, prompting the first-ever study to compare the warm and cold liver storage methods.
Coussios and a team studied what happened to two sets of donor livers -- 100 stored on ice, another 120 with NMP, and published their findings in the science journal Nature.
The NMP livers, the authors found, had 50 percent less"graft injury"than the near-frozen organs, and could be kept for considerably longer.
More of the NMP livers them could be transplanted.
The number of livers retrieved from donors but rejected after storage"was reduced by 50 percent,"said Coussios.
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19/04/2018
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