Pancreas preservation with University of Wisconsin and Celsior solutions

Transplant Proc. 2004 Apr;36(3):563-5. doi: 10.1016/j.transproceed.2004.03.078.

Abstract

Background: Although the use of Celsior has been recently described for heart, lung, liver, and kidney transplantation, no data are available on its use for clinical pancreas preservation.

Methods: We herein describe the results of 112 pancreas transplants preserved with either University of Wisconsin (UW; (n = 56) or Celsior (n = 56) solution at two Italian transplant centers. The groups were comparable with regard to all donor and recipient characteristics.

Results: Mean cold and warm ischemia times were 10.1 +/- 2.2 hours and 37.2 +/- 8.2 minutes for UW compared to 10.8 +/- 2.4 hours and 38.3 +/- 6.7 minutes for Celsior (P = NS). Delayed endocrine pancreas function was recorded in two UW-preserved grafts (3.6%). Actuarial 1-year patient survival was 94.6% for UW as compared with 100% for Celsior (P = NS). Equivalent graft survival figures were 91.0% for UW as compared with 96.4% for Celsior (P = NS).

Conclusions: Within the range of cold ischemia times reported in this study, UW and Celsior solutions have similar safety profiles for pancreas transplantation.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenosine*
  • Adult
  • Allopurinol*
  • Blood Glucose / analysis
  • Disaccharides*
  • Electrolytes*
  • Female
  • Glutamates*
  • Glutathione*
  • Graft Survival / physiology
  • Histidine*
  • Histocompatibility Testing
  • Humans
  • Insulin*
  • Ischemia
  • Italy
  • Male
  • Mannitol*
  • Middle Aged
  • Organ Preservation / methods*
  • Organ Preservation Solutions
  • Organ Transplantation / physiology*
  • Pancreas Transplantation / mortality
  • Pancreas Transplantation / physiology*
  • Pancreas*
  • Raffinose*
  • Retrospective Studies
  • Survival Analysis
  • Tissue Donors / statistics & numerical data

Substances

  • Blood Glucose
  • Celsior
  • Disaccharides
  • Electrolytes
  • Glutamates
  • Insulin
  • Organ Preservation Solutions
  • University of Wisconsin-lactobionate solution
  • Mannitol
  • Histidine
  • Allopurinol
  • Glutathione
  • Adenosine
  • Raffinose