Ex-vivo lung perfusion (EVLP) is a procedure used in clinical care to support lung viability during transplantation. Here, we used magnetic resonance spectroscopy (MRS) to monitor and compare the energy status of ex-vivo rat lungs flushed and stored in cold Perfadex or perfused with a modified warm Krebs-Henseleit buffer. The results demonstrate decreasing energy status over the course of the 3hr experiment under both conditions, with a slightly lower rate of decline in lung viability using cold Perfadex.
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