Liver Transplantation
Conditions
Keywords
Cold storage, Liver transplantation, Preservation solution
Brief summary
The aim of the study is to determine the efficacy and safety of a preservation solution in liver transplantation. Its efficacy will be compared to the efficacy of other currently used preservation solutions.
Detailed description
The quality of organ preservation is a major determinant of initial graft function and survival. Graft viability is based on hypothermia, the organ being stored in a cold preservation solution. Celsior® has been shown effective for cold preservation of heart and lung and, in laboratory studies, for liver, kidney and pancreas. The aim of the study is to evaluate the efficacy and safety of Celsior® in liver transplant preservation. Celsior® will be considered effective if the failure rate one year after transplantation is not significantly superior to 20% (rate observed in the European transplantation register between 1997 and 2001).
Interventions
Graft preservation solution
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult * Primary liver transplantation * Whole organ transplantation * Agreement for a 1 year follow-up * Informed written consent
Exclusion criteria
* Liver disease secondary to clotting abnormalities * Uncontrolled bacterial or viral disease at the time of transplantation * Combined transplantations
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Graft failure leading to patient death or retransplantation | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Onset of surgical complications | 1 year |
| Liver graft function during the fourteen first days | 14 days |
| Onset and severity of hemodynamic troubles at reperfusion | Reperfusion after transplantation |
| Onset of infections | 1 year |
| Onset, treatment and evolution of serious adverse events | 1 year |
| Incidence, treatment and evolution of acute and chronic rejections histologically proven | 1 year |
Countries
France