Sindelar W F
Am Surg. 1984 Oct;50(10):557-63.
A method was developed in the pig for isolation-perfusion of the liver using a pump-oxygenator that infused blood through the portal vein after vascular isolation and collected the hepatic venous effluent in a closed recirculating system. Portal and vena caval blood flows were diverted around the liver by an intracaval conduit or by an external shunt. Leakage from the perfusion circuit into the systemic circulation was measured using radioactive albumin tracer. Ten pigs were perfused for 30 or 60 minutes at 37 C or 41 C. Nine animals survived treatment with transient elevations of hepatic enzymes but with no clinical or pathologic signs of permanent hepatic damage.
已研发出一种在猪身上使用泵氧合器进行肝脏隔离灌注的方法,该泵氧合器在血管隔离后通过门静脉输注血液,并在封闭循环系统中收集肝静脉流出液。门静脉和腔静脉血流通过腔内导管或外部分流器绕过肝脏。使用放射性白蛋白示踪剂测量灌注回路向体循环的渗漏情况。十头猪在37℃或41℃下灌注30或60分钟。九只动物在肝酶短暂升高的情况下存活下来,但没有永久性肝损伤的临床或病理迹象。