The Experimental Study for Isolated Rabbit Lung Preservation

가토 적출 폐장의 장시간 보존에 관한 실험적 연구

  • Published : 1994.09.01

Abstract

We have modified the isolated perfused working rabbit lung model [IPWL] by perfusing the isolated lung with a hollow fiber membrane deoxygenator.For assessment the stored lung was ventilated with FIO2 0.4 and perfused with 37$^{\circ}$C deoxygenated circulating blood at a rate 5ml/kg/min for several hours until lung failure.We chose to compare our developing solution which contained low potassium and pentastarch with the modified Euro-Collins solution .Experiments were divided into four groups[n=6] based on the type of flushing preservation solution and preservation time.The flushed lungs were then preserved into same solution at 8~10$^{\circ}$C with 100% O2 inflated condition for 1 or 20 hours.These following results were obtained.The IPWL model requires only one animal per experiment and allows for the continuous assessment of aerodynamic performance. This should therefore be used as screening test in lung preservation.One hour preservation groups, there were no significant difference in recovery rates of PaO2, PAP and Paw. Survival time in the one hour preservation groups were very significant long in the Group II[LPPS, p<0.01]. Twenty hours preservation groups, there were no significant difference in the recovery rates of PAP and Paw between Group III[m-ECS] and Group IV[NS], but PaO2 was significantly worse at onset of reperfusion in Group III when compared with Group IV [p<0.05]. And also survival time in the 20 hours preservation groups were significant long in the Group IV [p<0.05].

Keywords

References

  1. N Engl J Med v.314 Unilateral lung transplantation for pulmonary fibrosis The Toronoto Lung Transplant Group
  2. J Thorac Cardiovasc Surg v.95 Experiemntal and clinical double lung transplantation Patterson,G.A.;Cooper,J.D.;Dark,J.H.Jones,M.T.;the Toronoto Lung Transplant Group
  3. Ann Thorac Surg v.23 Lung preservation techniques Toledo-Pereyra,L.H.;Hau,T.;Simmons,R.L.;Najarian,J.S.
  4. J Heart Transplant v.4 Twenty years of lung preservation:a review Haverich,A.;Scott,W.C.;Jamieson,S.W.
  5. Ann Thorac Surg v.43 Distant graft procurement for combined heart and lung transplantation using pulmonary artery flush and simple topical hypothetmia for graft preservation Baldwin,J.C.;First,W.H.;Starkey,T.D.(et al.)
  6. Clin Chest Med v.11 no.2 The pulmonary donor Griffith,B.P.;Zenati,M.
  7. J Thorac Cardiovasc Surg v.98 The effect of ischemic time and temperature on lung preservation in a simple exvivo rabbit model used for functional assessment Wang,L.S.;Yoshikawa,k.;Miyoshi,S.(et al.)
  8. J Heart Transplant v.3 Successful 4 hour hypothermic lung storage with Euro-Collins solution:a simplified model assessing preservation Stuart,R.S.;Monte,S.M.D.L.;Baumgartner,W.A.(et al.)
  9. Transplant Proc v.ⅩⅦ no.1 Successful 24-hour preservation of canine lung trasplants using modified extracellular fluid Fujimura,S.;Kondo,T.;Handa,M.(et al.)
  10. Transplant Proc v.XIX no.1 Successful 48-hour simple hypothermic preservation of canine lung transplants Fujimura,S.;Handa,M.;Kohdo(et al.)
  11. Ann Thorac Surg v.49 Vascular properties of canine lungs perfused with Euro-Collins solution and prostacyclin Unruh,H.;Hoppensack,M.;Oppenheimere,L.
  12. Thorac Cardiovasc Surgeon v.34 Improved lung preservation using Euro-Collins solution for flush-perfusion Haverich,A.;Aziz,S.;Scott,W.C.
  13. J Heart Lung Transplant v.10 Increased perioperative lung preservation injury with lung procurement by Euro-Collins solution flush Keenan,R.J.;Griffith,B.P.;Kormos,R.L.;Armitage,J.M.;Hardesty,R.L.
  14. Transplant v.49 The superiority of an extracellular fluid solution over Euro-Collins solution for pulmonary preservation Yamazaki,F.;Yokomise,H.;Keshavjee,S.H.(et al.)
  15. J Thorac Cardiovasc Surg v.98 A method for safe twelve-hour pulmonary preservation Keshavjee,S.H.;Yamazaki,F.;Cardoso,P.F.(et al.)
  16. J Thorac Cardiovasc Surg v.103 The role of dextran 40 and potassium in extended hypothermic lung preservation for transplantation Keshavjee,S.H.;Yamazaki,F.;Yokomise,H.(et al.)
  17. Ann Thorac Surg v.55 Safe pulmonary preservation for 12 hours with Low-Potassium-Dextran solution Steen,S.;Sjoberg,T.Massa,G.;Ericsson,L.;Lindberg,L.
  18. J Thorac Cardiovasc Surg v.103 Comparison of the University of Wisconsin preservation solution and other crystalloid perfusates in a 30-hour rabbit lung preservation model Miyoshi,S.;Shimokawa,S.;Schreinemakers,H.(et al.)
  19. Transplant v.54 no.5 Successful extended lung preservation with UW solution Bresticker,M.A.;Locicero,Ⅲ.J.;Oba,J.;Greene,R.
  20. Transp Review 3 The university of Wisconsin solution for organ preservation Southard,J.H.;Pienaer,H.;McAnulty,J.F.(etc.);Belzer,F.O.
  21. Transplant Proc v.23 Extended lung preservation by bronchial artery perfusion with university of Wisconsin solution LoCicero,J.;Massad,M.;Oba,J.;Greene,R.;de Tarnowsky,J.
  22. J Thorac Cardiovasc Surg v.97 A new solution(UCLA formula) for lung preservation Hachida,M.;Morton,D.L.
  23. Heart Transplant v.Ⅳ The limits of cold ischemia for preservation of the lung Schueler,S.;Warnecke,H.;Hetzer(et al.)
  24. J Thorac Cardiovasc Surg v.96 Preservation of the lung comparion of topical colling and cold crystalloid pulmonary perfusion Locke,T.J.;Hooper,T.L.;Flecknell,P.A.;Mcgregor,C.G.A.
  25. Ann Thorac Surg v.56 Lung preservation: A review of current practice and future directions Kirk,A.J.B.;Colquhoun,I.W.;Dark,J.H.
  26. Ann Thorac Surg v.55 Influence of temperature of flushing solution on lung preservation Wang,L.S.;Nakamoto,K.;Hsieh,C.M.;Miyoshi,S.;Cooper,J.D.
  27. Ann Thorac Surg v.51 Improved lung preservation with cold air storage Kon,N.D.;Hines,M.H.;Harr,C.D.;Miller,L.R.;Taylor,C.L.;Cordell,A.R.;Mills,S.A.
  28. J Thorac Cardiovasc Surg v.101 Influence of intraalveolar oxygen concentration on lung preservation in a rabbit model Weder,W.;Harper,B.;Shimokawa,S.(et al.)
  29. J Thorac Cardiovasc Surg v.105 Changes in alveolar oxygen and carbon dioxide concentration and oxygen consumption during lung preservation Date,H.;Matsumura,A.;Manchester,J.K.;Cooper,J.M.;Lowry,O.H.;Cooper,J.D.
  30. Heart Transplant v.Ⅳ Twenty-four hour lung preservation by hypothermia and leukocyte depletion Breda,M.A.;Hall,T.S.;Stuart,R.S.(et al.)