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This study aims to evaluate the effectiveness of two medical devices ( XPS XVIVO and OCS Transmedics) used for organ reperfusion in patients needing bilateral lung transplants from marginal donors.
Marginal organs, which do not have ideal transplant characteristics but are not rejected, can be treated with ex-vivo reperfusion and reventilation machines to optimize their condition. The two main devices studied are:
Organ Care System (OCS) Transmedics, a mobile machine for use at the donor site.
XPS XVIVO, a static machine used for organs transported with cold preservation. The study's primary objective is to assess the acceptance rate of organs treated with these devices, while secondary objectives include comparing the duration of mechanical ventilation, ECMO use, and 90-day survival rates in transplanted patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| OCS | Experimental |
| |
| X vivo | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ex vivo lung perfusion for eventual lung transplant | Device | ex vivo lung repefusion to evaluate lung function |
|
| Measure | Description | Time Frame |
|---|---|---|
| Acceptance rate to transplant | after the transplant |
| Measure | Description | Time Frame |
|---|---|---|
| days on mechanical ventilation | from transplant moment since the day weaning from mechanical ventilation | |
| duration on postoperative ECMO (ExtraCorporeal Membrane Oxygenation) | from transplant date since the day weaning from ECMO (ExtraCorporeal Membrane Oxygenation) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Filippo FA Antonacci, MD | Contact | +390512145593 | filippo.antonacci@aosp.bo.it | |
| Melania MM Milanese, Pharmacy | Contact | melania.milanese@aosp.bo.it |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Irccs Aoubo | Bologna | BO | 40138 | Italy |
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| Organ Care system | Device | organ care system |
|
| mortality | within 90 days |