Information de reference pour ce titreAccession Number: | 00007890-199607150-00026.
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Author: | Hammer, Gregory B. 1-4; So, Samuel K. S. 5; Al-Uzri, Amira 6; Conley, Susan B. 2; Concepcion, Waldo 5; Cox, Kenneth L. 2; Berquist, William E. 2; Esquivel, Carlos O. 5
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Institution: | Departments of Anesthesiology, Pediatrics, and Transplantation, Stanford University Medical Center, and Lucile Packard Children's Hospital, Stanford, California 94305, and Department of Pediatrics, University of Arizona Medical Center, Tucson, Arizona 85720
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Title: | CONTINUOUS VENOVENOUS HEMOFILTRATION WITH DIALYSIS IN COMBINATION WITH TOTAL HEPATECTOMY AND PORTOCAVAL SHUNTING: Bridge to Liver Transplantation.[Miscellaneous Article]
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Source: | Transplantation. 62(1):130-132, July 15, 1996.
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Abstract: | Children who experience acute liver failure following liver transplantation will have multiple organ failure and a high rate of mortality unless emergency retransplantation can be performed. Transplant hepatectomy with portocaval shunting has been described as a bridge to transplantation in the most severe cases, as well as in patients with fulminant hepatic failure at high risk for mortality who have not undergone liver transplantation. Patients with multiple organ failure who have undergone hepatectomy require renal replacement therapy. Continuous hemofiltration may be used in patients with fulminant hepatic failure to facilitate fluid removal and circulatory and metabolic balance. We used continuous venovenous hemofiltration with dialysis following hepatectomy with portocaval shunting in a patient who remained anhepatic for 66 hr in order to achieve circulatory and metabolic homeostasis as well as stable neurologic function prior to successful retransplantation.
(C) Williams & Wilkins 1996. All Rights Reserved.
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References: | 1. So SSK, Barteau J, Perdrizet G, Marsh J. Successful retransplantation after a 48-hour anhepatic state. Transplant Proc 1993; 25: 1962.
2. Ringe B, Lubbe N, Kuse E, Frei U, Pichlmayr R. Total hepatectomy and liver transplantation as a two-stage procedure. Ann Surg 1993; 218: 3.
3. Davenport A, Will EJ, Davidson AM. Improved cardiovascular stability during continuous modes of renal replacement therapy in critically ill patients with acute hepatic and renal failure. Crit Care Med 1993; 21: 328.
4. Terpstra OT. Auxiliary liver grafting: a new concept in liver transplantation. Lancet 1993; 342: 758.
5. Hughes RD, Williams R. Evaluation of extracorporeal bioartificial liver devices. Liver Transplant Surg 1995; 1: 200.
6. Wilkinson SP, Weston MJ, Parsons V, Williams R. Dialysis in the treatment of renal failure in patients with liver disease. Clin Nephrol 1977; 6: 97.
7. Davenport A, Will EJ, Losowsky MS. Rebound surges of intracranial pressure as a consequence of forced ultrafiltration used to control intracranial pressure. Am J Kidney Dis 1989; 14: 516.
8. Kishimoto T, Yamagami S, Tanaka H, et al. Superiority of hemofiltration to hemodialysis for treatment of chronic renal failure: comparative studies between hemofiltration and hemodialysis on dialysis disequilibrium syndrome. J Artif Organs 1980; 4: 86.
9. Kaplan AA, Longnecker RE, Folkert VW. Continuous arterio-venous hemofiltration: a report of six months' experience. Ann Intern Med 1984; 180: 358.
10. Bellomo R, Parkin G, Love J, Boyce N. A prospective comparative study of continuous arteriovenous hemodiafiltration and continuous venovenous hemodiafiltration in critically ill patients. Am J Kidney Dis 1993; 21: 400.
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Language: | English.
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Document Type: | Brief Communications: Clinical Transplantation.
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Journal Subset: | Clinical Medicine.
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ISSN: | 0041-1337
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NLM Journal Code: | wej, 0132144
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Annotation(s) | |