Use of the molecular adsorbents recirculating system as a treatment for acute decompensated wilson disease

Alexander Chiu, Nai Shun Tsoi, Sheung Tat Fan – 29 September 2008 – Acute decompensated Wilson disease presenting as fulminant liver failure is a life‐threatening condition for which liver transplantation is the ultimate treatment. It is listed as a status 1 indication according to the United Network for Organ Sharing classification. A massive amount of copper released during the attack induces hemolytic anemia and acute renal failure.

Temporary portocaval shunt in orthotopic liver transplantation: Need for a standardized approach?

Diego Davila, Adam Bartlett, Nigel Heaton – 29 September 2008 – Maintenance of portal and systemic venous return during the anhepatic phase of liver transplantation (LT) improves hemodynamic stability. With the piggyback technique, caval return is maintained; however, temporary clamping of the portal vein is still necessary. The use of a temporary portocaval shunt (TPCS) has been proposed to minimize the effect of portal venous interruption.

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