title: [Domino or sequential liver transplantation. Is it a feasible technique?].
abstract: BACKGROUND
  In domino liver transplantation (LT), the explanted liver of a patient with familial amyloidotic polyneuropathy (FAP) is donated to another patient.
  
  
  METHODS
  Between February 1999 and March 2001 we performed 131 LT with 121 cadaveric donors in our unit. Ten domino LTs were performed.
  
  
  RESULTS
  Patients with FAP were younger (37 years) than recipients of the second LT (64 years). The evolution of patients undergoing transplantation for FAP was excellent and all are currently alive and without complications. Among recipients of the second LT, one patient died in the postoperative period. A further two patients died from tumoral recurrence and hepatitis C virus recurrence 18 months and 9 months after transplantation, respectively. The remaining patients have shown no symptoms of FAP during the follow-up.
  
  
  CONCLUSIONS
  The results of this study show that domino LT is technically feasible. The technique increases the number of grafts without apparent risk either to the recipient with FAP or to the recipient of the latter's explanted liver.
authors.affiliation: Unidad de Trasplante Hepático. Ciutat Sanitaria i Universitaria de Bellvitge. L'Hospitalet de Llobregat. Barcelona. Spain. jfigueras@csub.scs.es
authors.forename: J
authors.initials: J
authors.lastname: Figueras
authors.forename: D
authors.initials: D
authors.lastname: Parés
authors.forename: M
authors.initials: M
authors.lastname: Munar-Qués
authors.forename: A
authors.initials: A
authors.lastname: Rafecas
authors.forename: T
authors.initials: T
authors.lastname: Casanovas-Taltavull
authors.forename: J
authors.initials: J
authors.lastname: Fabregat
authors.forename: X
authors.initials: X
authors.lastname: Xiol
authors.forename: J
authors.initials: J
authors.lastname: Torras
authors.forename: C
authors.initials: C
authors.lastname: Lama
authors.forename: L
authors.initials: L
authors.lastname: Lladó
authors.forename: E
authors.initials: E
authors.lastname: Jaurrieta
mesh_terms: D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged