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Heart, Lung and Circulation
Abstract| Volume 20, ISSUE 4, P250-251, April 2011

Enhanced Cardiac Allograft Preservation by Supplementation of Celsior With Erythropoietin, Glyceryl Trinitrate and Zoniporide—Validation in Small and Large Animal Models

      Introduction: Primary allograft failure is the leading cause of death within 30 days of heart transplantation, its incidence increasing with the duration of ischaemia. We hypothesised that the protective effect of Celsior, a commercially available crystalloid cardioplegic solution, would be enhanced by the addition of erythropoietin, which has previously been shown to have cardioprotective properties [
      • Bullard A.J.
      • Govewalla P.
      • Yellon D.M.
      Erythropoietin protects the myocardium against reperfusion injury in vitro and in vivo.
      ]. Further, we hypothesised that it would act synergistically with glyceryl trinitrate and the sodium-hydrogen exchange inhibitor zoniporide, which we have previously shown be cardioprotective in our laboratory [
      • Gao L.
      • Hicks M.
      • MacDonald P.S.
      Improved preservation of the rat heart with celsior solution supplemented with cariporide plus glyceryl trinitrate.
      ,
      • Hing A.J.
      • Watson A.
      • Hicks M.
      • Gao L.
      • Faddy S.C.
      • McMahon A.C.
      • et al.
      Combining cariporide with glyceryl trinitrate optimizes cardiac preservation during porcine heart transplantation.
      ].
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      References

        • Bullard A.J.
        • Govewalla P.
        • Yellon D.M.
        Erythropoietin protects the myocardium against reperfusion injury in vitro and in vivo.
        Basic Res Cardiol. 2005; 100: 397-403
        • Gao L.
        • Hicks M.
        • MacDonald P.S.
        Improved preservation of the rat heart with celsior solution supplemented with cariporide plus glyceryl trinitrate.
        Am J Transplant. 2005; 5: 1820-1826
        • Hing A.J.
        • Watson A.
        • Hicks M.
        • Gao L.
        • Faddy S.C.
        • McMahon A.C.
        • et al.
        Combining cariporide with glyceryl trinitrate optimizes cardiac preservation during porcine heart transplantation.
        Am J Transplant. 2009; 9: 2048-2056