ABO incompatible liver transplantation in acute and acute on chronic liver failure
Küçük Resim Yok
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Hepatogastroenterology
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Abstract
BACKGROUND/AIMS:
ABO-incompatible (ABO-I) liver transplantation (LTx) may be mandatory in urgent conditions such as acute liver failure (ALF) or acute-on-chronic liver failure (ACLF) when deceased donor (DD) is unavailable or living donor (LD) selection is limited. This study specifically addresses the problem of urgent ABO-I LTx in critically ill adult patients having ALF or severely decompensated end-stage liver disease.
METHODOLOGY:
This series included 16 patients, 10 underwent ABO-I LD LTx and 6 underwent 7 ABO-I DD LTx. Multiple sessions of plasmapheresis reduced isoaglutinin titres to 1/16 or below, before and after LTx.
RESULTS:
Mean follow-up period was 10.37 months (1 to 38). Median for MELD scores was 22.5 (17 to 30). Median survival was 9 months and mean survival was 19.5 months. Hospital mortality was 3 (18.7%). Two patients died due to small for size graft syndrome and cerebrovascular bleeding respectively. Hepatic artery thrombosis developed in 3 patients. Two of them died at postoperative 4th and 9th months. Third patient is still alive with hepatic necrosis problem.
CONCLUSIONS:
ABO-I LTx remains an important and unavoidable therapeutic option in adult patients with ALF or ACLF and urgent need for an allograft without the possibility to allocate a blood group compatible liver graft.
Açıklama
Hepatogastroenterology. 2013 Jul-Aug;60(125):1189-93.
Anahtar Kelimeler
Kaynak
Hepatogastroenterology
WoS Q Değeri
Scopus Q Değeri
Cilt
0
Sayı
0
Künye
S. Yılmaz Et Al., “Abo İncompatible Liver Transplantation İn Acute And Acute On Chronic Liver Failure ,” Hepatogastroenterology, Pp. 0–0, 2013.
