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Interact CardioVasc Thorac Surg 2007;6:421-424. doi:10.1510/icvts.2006.146043
© 2007 European Association of Cardio-Thoracic Surgery

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Right arrow Extracorporeal circulation
Right arrow Transplantation - heart

New ideas - Transplantation

A new disposable perfusion machine, nuclear magnetic resonance compatible, to test the marginal organs and the kidneys from non-heart-beating donors before transplantation

Jean-Bernard Buchs*, Léo Bühler and Philippe Morel

Service de Chirurgie Viscérale et de Transplantation, HUG, 1211 Genève, Switzerland

*Corresponding author. HUG – 24 rue Micheli-du-Crest, 1205 Genève, Switzerland.

E-mail address: jean-bernard.buchs{at}hcuge.ch (J.-B. Buchs).

This article is the first report about our new hypothermic pulsatile perfusion machine (HUG's HPP-machine) for kidney perfusion. This machine will be used for 31P NMR spectroscopy. The aim is to obtain scores of viability of marginal kidneys and those from non-heart-beating donors (NHBD) before transplantation using HPP as it has been demonstrated necessary in these situations. The most predictable test is the ratio of phosphomonoester on inorganic phosphorus (PME/Pi) that can be obtained from 31P spectroscopy. The machine has been built to allow perfusion of kidneys in the range of that performed with the traditional Belzer, Mox-Waters machines and others, but compatible with the magnetic fields of the MRI apparatus used for 31P NMR spectroscopy. In this publication, the technical aspects of this new aerobic HPP-machine compatible with MRI is presented.

Key Words: Hypothermic pulsatile perfusion; 31P NMR; Non-heart-beating donor (NHBD); MRI compatibility







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