Fractionated plasma separation adsorption and dialysis prometheus ® system – Is it effective in patients with acute-on-chronic liver failure?
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چکیده
منابع مشابه
MARS and Prometheus in Acute-on-Chronic Liver Failure: Toxin Elimination and Outcome
Extracorporeal liver support by cell-free detoxification systems, such as the molecular adsorbents recirculating system (MARS) and fractionated plasma separation and adsorption (FPSA, Prometheus), has gained widespread interest during the last decade. Both devices effectively eliminate bilirubin, bile acids, and other albumin-bound substances accumulating in liver failure. However, it is less c...
متن کاملEffect of extracorporeal liver support by MARS and Prometheus on serum cytokines in acute-on-chronic liver failure
INTRODUCTION Cytokines are believed to play an important role in acute-on-chronic liver failure (ACLF). Extracorporeal liver support systems may exert beneficial effects in ACLF via removal of cytokines. At present, two systems are commercially available, the Molecular Adsorbent Recirculating System (MARS) and Fractionated Plasma Separation, Adsorption and Dialysis (Prometheus). The aim of this...
متن کاملEFFEC T OF HEMODI ALYSIS ON TRACE ELEMENTS IN PATIENTS WITH ACUTE AND CHRONIC RENAL FAILURE
Hemodialysis is being implicated in the development of metabolic disturbances, as complications have been observed and the role of trace metals in their development has been questioned. In 78 renal failure patients who underwent hemodialysis, serum levels of zinc and copper were determined before and after first hemodialysis. Acute and chronic renal failure patients were found to have lowe...
متن کاملCerebral microdialysis reflects the neuroprotective effect of fractionated plasma separation and adsorption in acute liver failure better and earlier than intracranial pressure: a controlled study in pigs
BACKGROUND Cerebral edema is a well-recognized and potentially fatal complication of acute liver failure (ALF). The effectiveness of treatments that address intracranial hypertension is generally assessed by measuring intracranial pressure (ICP). The aim of this study was to determine the role of cerebral microdialysis in monitoring the efficacy of fractionated plasma separation and adsorption ...
متن کاملEffect of the molecular adsorbent recirculating system and Prometheus devices on systemic haemodynamics and vasoactive agents in patients with acute-on-chronic alcoholic liver failure
INTRODUCTION Patients with acute-on-chronic liver failure show an aggravated hyperdynamic circulation. We evaluated, in a controlled manner, potential changes in systemic haemodynamics induced by the molecular adsorbent recirculating system (MARS) and the Prometheus system liver detoxification devices in a group of patients with acute-on-chronic liver failure. METHODS Eighteen patients (51.2 ...
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ژورنال
عنوان ژورنال: HPB
سال: 2016
ISSN: 1365-182X
DOI: 10.1016/j.hpb.2016.01.116