A Case of Living Donor Liver Transplant Recipient Treated With Novel Blood Purification "Plasma Diafiltration''

被引：3
|
作者：
Hayashi, Hironori [1 ]
Takamura, Hiroyuki [1 ]
Taniguchi, Takumi [2 ]
Nakanuma, Shin-ichi [1 ]
Nakagawara, Hisatoshi [1 ]
Tajima, Hidehiro [1 ]
Kitagawa, Hirohisa [1 ]
Onishi, Ichiro [3 ]
Tani, Takashi [4 ]
Ohta, Tetsuo [1 ]
机构：
[1] Kanazawa Univ, Grad Sch Med Sci, Div Canc Med, Dept Surg Gastroenterol, Kanazawa, Ishikawa 9208641, Japan
[2] Kanazawa Univ Hosp, Intens Care Unit, Kanazawa, Ishikawa, Japan
[3] Natl Hosp Org Kanazawa Med Ctr, Dept Surg, Kanazawa, Ishikawa, Japan
[4] Publ Cent Hosp Matto Ishikawa, Dept Surg, Haku San, Japan
来源：
INTERNATIONAL SURGERY | 2013年 / 98卷 / 04期
关键词：
Artificial organ support; Graft insufficiency; Liver support; Small-for-size graft syndrome; ADSORBENTS RECIRCULATING SYSTEM; APHERESIS THERAPY; PLASMAPHERESIS; EXPERIENCE; PROMETHEUS;
D O I：
10.9738/INTSURG-D-13-00047.1
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Blood purification therapy is indispensable for liver transplant recipients. The case of a living donor liver transplant recipient who represented graft insufficiency and was supported by novel blood purification "plasma diafiltration'' immediately after operation is presented. A 60-year-old woman was referred for living donor liver transplant because of liver cirrhosis due to hepatitis C. Elective living donor liver transplant was performed, but the graft was small for size. Thus, the signs of graft insufficiency appeared immediately after the operation, and plasma diafiltration was used as a bridge to graft regeneration. After plasma diafiltration was started, the recipient recovered promptly, and withdrawal was performed 35 hours after induction without any complications. Plasma diafiltration is a useful and safe liver support for liver transplant recipients, including immediately after liver transplantation.
引用
收藏
页码：428 / 431
页数：4
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