Veno-venous bypass without systemic anticoagulation for transplantation of the human liver.
نویسندگان
چکیده
A technique of veno-venous bypass without heparin has been developed for use during the anhepatic phase of transplantation of the liver. With this method, the ability to compress the temporarily obstructed vena caval and portal venous systems has made hepatic transplantation an easier procedure.
منابع مشابه
Veno-venous Bypass without Systemic Anticoagulation in Canine and Human Liver Transplantation.
I/, tC II PREVIOUS A TfEMPTS TO PERFORM liver transplantation during ve~ \ venous bypass with systemic anticoagulation (heparin) in 12 patients a1 I this medical center resulted in excessive blood loss in six and at least one l' fatality. The purpose of this study was to test the plausibility and conse· quences of using a veno-venous circuit without systemic anticoagulatioD during liver transpl...
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The routine use of veno-venous bypass during the anhepatic phase of orthotopic liver transplantation is controversial. Decreased shunt flows (1.5-3.0 litre min-1), as reported in the literature, may explain the lack of beneficial effects on outcome. We have studied the influence of bypass flows on caval pressure gradient (CPG) and renal perfusion pressure (RPP) in 45 patients undergoing orthoto...
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Percutaneous bypass catheters are routinely used for veno-venous bypass (VVBP) during orthotopic liver transplantation (OLT). The recognized risks include bleeding, injury of vascular and nerve structures and lymphatic leakage. We describe a case where there were difficulties during catheterization and the patient suffered a cardiac arrest on commencing VVBP. Post-mortem examination revealed th...
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A venous bypass technique (BP) that does not require the use of systemic anticoagulation is used routinely at our institution in all adult patients during the anhepatic phase of liver transplantation (LT). Complete cardiopulmonary profiles were obtained in a subset of 28 consecutive cases. During the anhepatic phase while on bypass, mean arterial pressure, central venous pressure, and pulmonary...
متن کاملVery High Dose Epinephrine for the Treatment of Vasoplegic Syndrome during Liver Transplantation
A 55-year-old man with hepatitis B and hepatocellular carcinoma was treated with liver transplantation without veno-venous bypass. During the procedure his arterial blood pressure remained at 55/30 mm Hg and did not respond to increasing doses of norepinephrine. Vasoplegia was managed aggressively with the intravenous infusion of high doses of epinephrine.
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ورودعنوان ژورنال:
- Surgery, gynecology & obstetrics
دوره 160 3 شماره
صفحات -
تاریخ انتشار 1985