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Original Article
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Volume 331:234-237 July 28, 1994 Number 4
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Treatment of Hepatic Failure with ex Vivo Pig-Liver Perfusion Followed by Liver Transplantation
Ravi S. Chari, Bradley H. Collins, John C. Magee, J. Michael DiMaio, Allan D. Kirk, Robert C. Harland, Richard L. McCann, Jeffrey L. Platt, and William C. Meyers

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In 1990, more than 27,000 patients died of liver failure in the United States1. Perfusion through a liver from another person or a member of another species, such as a monkey, outside the body was used in the past to stabilize the condition of some patients with acute or subacute liver failure2,3,4,5. Few patients survived, however, and this approach was superseded by orthotopic liver transplantation6. Liver transplantation is associated with higher mortality for patients with fulminant hepatic failure than for patients with chronic liver disease, however. Patients with fulminant hepatic failure often have multiorgan failure and hemodynamic . . . [Full Text of this Article]

Methods

Consent

Procurement of Pig Livers

Preparation of Patients and Perfusion Circuit

Stages of Hepatic Encephalopathy

Case Reports

Patient 1

Patient 2

Patient 3

Patient 4

Discussion


Source Information

From the Departments of Surgery (R.S.C., B.H.C., J.C.M., J.M.D., A.D.K., R.C.H., R.L.M., J.L.P., W.C.M.), Immunology (J.L.P.), and Pediatrics (J.L.P.), Duke University Medical Center and Durham Veterans Affairs Medical Center, Durham, N.C. Presented in part at the 19th Annual Scientific Meeting of the American Society of Transplant Surgeons, Houston, May 20-22, 1993.

Address reprint requests to Dr. Meyers at Box 3041, Duke University Medical Center, Durham, NC 27710.

References


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