In situ liver splitting under extracorporeal membrane oxygenation in brain-dead donor.

Details

Serval ID
serval:BIB_BB6E149CD1DF
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
In situ liver splitting under extracorporeal membrane oxygenation in brain-dead donor.
Journal
American journal of transplantation
Author(s)
Assalino M., Majno P., Toso C., Berney T., Giraud R., Dutkowski P., Andres A., Wildhaber B., Elkrief L.
ISSN
1600-6143 (Electronic)
ISSN-L
1600-6135
Publication state
Published
Issued date
01/2018
Peer-reviewed
Oui
Volume
18
Number
1
Pages
258-261
Language
english
Notes
Publication types: Case Reports
Publication Status: ppublish
Abstract
Hemodynamic instability is generally considered as a contraindication to liver splitting, in particular when using an in situ technique. We describe the cases of two young donors with brain death in whom refractory cardiac arrest and hemodynamic instability were supported by veno-arterial extracorporeal membrane oxygenation (VA-ECMO), allowing uneventful in situ splitting. Two adult and two pediatric liver recipients were successfully transplanted with immediate graft function. Favorable outcomes were also observed for the other transplanted organs, including one heart, two lungs, and four kidneys. Refractory cardiac arrest and hemodynamic instability corrected by VA-ECMO should not be considered as a contraindication to in situ liver splitting.
Keywords
clinical research/practice, donors and donation: donation after brain death (DBD), donors and donation: extended criteria, editorial/personal viewpoint, extracorporeal membrane oxygenation (ECMO), iver transplantation/hepatology, liver transplantation: split, organ procurement, organ procurement and allocation
Pubmed
Web of science
Create date
08/10/2018 8:05
Last modification date
20/08/2019 15:29
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